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The nurse is caring for a patient diagnosed with anemia.This morning's hematocrit level is 24%.Platelet level is 200,000/microliter.The nurse can expect to:


A) continue monitoring the patient, as this hematocrit is normal.
B) administer platelets to help control bleeding.
C) give fresh frozen plasma to decrease prothrombin time.
D) provide RBC transfusion because this level is below the normal threshold.

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The patient is admitted with multiple myeloma.The nurse assesses the patient and is aware that the symptom most unique to this disease is:


A) fever.
B) night sweats.
C) bone pain.
D) lymph node enlargement.

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In caring for the patient who has a coagulopathy,the nurse should: (Select all that apply.)


A) assess fluids for occult blood.
B) observe for oozing and bleeding and remove clots that form.
C) limit invasive procedures.
D) take temperatures rectally to increase accuracy.
E) weigh dressings to assess blood loss.

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Secondary immunodeficiency involves the loss of a previously functional immune defense system that can be caused by: (Select all that apply.)


A) a single gene defect.
B) AIDS.
C) aging.
D) nutritional deficiencies.
E) immunosuppressive therapies

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The patient comes to the hospital complaining of headache,fever,and sore throat for the past 2 weeks and is concerned that he might have acquired immune deficiency syndrome (AIDS) .The patient's blood work shows the presence of HIV antibodies.The nurse should explain that:


A) HIV symptoms will continue throughout the patient's life.
B) HIV is an acute disease with a short prognosis.
C) AIDS is considered a chronic disease.
D) very few people with HIV develop AIDS.

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The patient has a total white blood cell ( WBC ) count of 600 cells/microliter.The differential shows a normal neutrophil level of 70% with 5% bands.This patient:


A) is at low risk for infection.
B) is at mild risk for infection.
C) is at moderated risk for infection.
D) is at severe risk for infection.

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The patient has a platelet count of 9,000/microliter.The nurse realizes that:


A) this is a normal platelet level.
B) spontaneous bleeding may occur.
C) the patient is at great risk for fatal hemorrhage.
D) this level is considered slightly low.

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Erythrocytes (RBCs) are flexible biconcave disks without nuclei whose primary component is an oxygen-carrying molecule called:


A) erythropoietin.
B) a reticulocyte.
C) hemoglobin.
D) 2,3-DPG

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Although monocytes may circulate for only 36 hours,they can survive for months or even years as tissue macrophages.Monocytes found in the liver are called:


A) alveolar macrophages.
B) Kupffer's cells.
C) histiocytes.
D) monokines.

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The process in which antibody and complement proteins attach to the target cell and enhance the phagocyte's ability to engulf the target cell is known as:


A) opsonization.
B) phagocytosis.
C) the lymphoreticular system.
D) the portal circulation.

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A patient with a history of pulmonary embolism is being worked up for a potential coagulopathy that increases the risk for clotting.The nurse understands that the provider may order a test for


A) factor VII deficiency.
B) factor X deficiency.
C) protein C deficiency.
D) factor IX deficiency.

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The patient is diagnosed with lymphoma,but has a normal white blood cell ( WBC ) count.The nurse understands that this patient


A) has normal WBC function since the WBC is normal.
B) will have increased bruising and bleeding.
C) is at risk for infection.
D) is at risk for an allergic reaction.

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Critical to caring for the immunocompromised patient is the understanding that:


A) the immunocompromised patient has normal white blood cell ( WBC ) physiology.
B) the immunosuppression involves a single element or process.
C) infection is the leading cause of death in these patients.
D) immune incompetence is symptomatic even without pathogen exposure.

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Lymphocytes are made up of B cells and T cells.B cells:


A) mature in lymphoid tissue.
B) mediate humoral immunity.
C) migrate to the thymus gland.
D) destroy virus-infected cells.

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In vivo,the primary activator of the coagulation cascade occurs via the:


A) intrinsic pathway.
B) extrinsic pathway.
C) common pathway.
D) either intrinsic or extrinsic pathway.

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