Podcast
Questions and Answers
In which of the following locations does hematopoiesis primarily occur?
In which of the following locations does hematopoiesis primarily occur?
- Spleen
- Bone marrow (correct)
- Liver
- Lymph nodes
A client with a history of anemia is admitted. Which condition would most likely contribute to decreased or delayed blood cell production?
A client with a history of anemia is admitted. Which condition would most likely contribute to decreased or delayed blood cell production?
- Elevated iron levels
- Anemic conditions (correct)
- Increased erythropoietin production
- Normal hemoglobin levels
The production of red blood cells (RBCs) is dependent on several nutritional factors. Deficiency in which of the following nutrients would most significantly impair RBC production?
The production of red blood cells (RBCs) is dependent on several nutritional factors. Deficiency in which of the following nutrients would most significantly impair RBC production?
- Calcium
- Sodium
- Vitamin C
- Vitamin B12 (correct)
A client's lab results indicate a low RBC count. To promote normal erythrocyte production, the nurse should encourage the client to increase intake of which nutrients?
A client's lab results indicate a low RBC count. To promote normal erythrocyte production, the nurse should encourage the client to increase intake of which nutrients?
Which of the following best describes the primary function of leukocytes (WBCs)?
Which of the following best describes the primary function of leukocytes (WBCs)?
After reviewing a client's lab results, the nurse notes an elevated number of band cells. This finding indicates which of the following conditions?
After reviewing a client's lab results, the nurse notes an elevated number of band cells. This finding indicates which of the following conditions?
B-lymphocytes play a crucial role in the body's immune response. What is their primary function?
B-lymphocytes play a crucial role in the body's immune response. What is their primary function?
Which of the following describes the role of T-lymphocytes in hemostasis?
Which of the following describes the role of T-lymphocytes in hemostasis?
The nurse is caring for a client with liver dysfunction. Which potential hematologic complication is the client at an increased risk for?
The nurse is caring for a client with liver dysfunction. Which potential hematologic complication is the client at an increased risk for?
A client who experienced significant dehydration is likely to exhibit which alteration in hematocrit levels?
A client who experienced significant dehydration is likely to exhibit which alteration in hematocrit levels?
What is the purpose of the Schilling test?
What is the purpose of the Schilling test?
Which of the following findings is most indicative of Hodgkin's lymphoma?
Which of the following findings is most indicative of Hodgkin's lymphoma?
A patient is diagnosed with Hodgkin's lymphoma. Which assessment finding is most consistent with this condition?
A patient is diagnosed with Hodgkin's lymphoma. Which assessment finding is most consistent with this condition?
A nurse is teaching a client who is receiving treatment for Hodgkin's lymphoma about dietary modifications. Which instruction is most appropriate?
A nurse is teaching a client who is receiving treatment for Hodgkin's lymphoma about dietary modifications. Which instruction is most appropriate?
A client with hemophilia is experiencing bleeding into the joints. What sign/symptom should the nurse closely monitor for?
A client with hemophilia is experiencing bleeding into the joints. What sign/symptom should the nurse closely monitor for?
The nurse is caring for a child with hemophilia who has a minor cut. What intervention is appropriate?
The nurse is caring for a child with hemophilia who has a minor cut. What intervention is appropriate?
Parents of a child with hemophilia are seeking advice on appropriate physical activities. Which activity is most suitable and safe for the child?
Parents of a child with hemophilia are seeking advice on appropriate physical activities. Which activity is most suitable and safe for the child?
Which of the following is a common cause of sickle cell crisis?
Which of the following is a common cause of sickle cell crisis?
A nurse is teaching a client with sickle cell anemia about measures to prevent a sickle cell crisis. Which instruction is most important?
A nurse is teaching a client with sickle cell anemia about measures to prevent a sickle cell crisis. Which instruction is most important?
During a sickle cell crisis, a client reports severe pain. Which intervention is the most appropriate initial action?
During a sickle cell crisis, a client reports severe pain. Which intervention is the most appropriate initial action?
A client asks the nurse, “What does hydroxyurea do for sickle cell anemia?” What is the most accurate response?
A client asks the nurse, “What does hydroxyurea do for sickle cell anemia?” What is the most accurate response?
A nurse is preparing to administer a blood transfusion to an older adult client. Which is a critical action to prevent complications?
A nurse is preparing to administer a blood transfusion to an older adult client. Which is a critical action to prevent complications?
The nurse discovers that the blood bag label does not match the client's information. What action should the nurse take?
The nurse discovers that the blood bag label does not match the client's information. What action should the nurse take?
The order says to transfuse as quickly as possible. What solution could be used in conjunction with blood products to ensure patency in an IV
The order says to transfuse as quickly as possible. What solution could be used in conjunction with blood products to ensure patency in an IV
A nurse is providing post-procedure care for a client following a bone marrow aspiration. What action should the nurse take?
A nurse is providing post-procedure care for a client following a bone marrow aspiration. What action should the nurse take?
What type of cancer would be caused by malignancies of the precursor cells
What type of cancer would be caused by malignancies of the precursor cells
Upon cleaning the bone marrow biopsy site, which actions are inappropriate
Upon cleaning the bone marrow biopsy site, which actions are inappropriate
Lack of heme, the product that makes RBC's, could be a result of what disease process
Lack of heme, the product that makes RBC's, could be a result of what disease process
What is a sign and/or symptom of iron deficiency anemia?
What is a sign and/or symptom of iron deficiency anemia?
Which action will increase Iron absorption?
Which action will increase Iron absorption?
If a supplement stains the teeth, what is the correct method of administration?
If a supplement stains the teeth, what is the correct method of administration?
When giving ferrous sulfate, when are the ideal times to administer the medication?
When giving ferrous sulfate, when are the ideal times to administer the medication?
Which signs and/or symptoms require strict monitoring when giving Erythropoieten medication?
Which signs and/or symptoms require strict monitoring when giving Erythropoieten medication?
What are the tell-tale signs/symptoms of Plummer-Vinson syndrome?
What are the tell-tale signs/symptoms of Plummer-Vinson syndrome?
Lack of intrinsic factor is the hallmark of what anemia type?
Lack of intrinsic factor is the hallmark of what anemia type?
Describe, briefly, the skin of a B12 deficient patient
Describe, briefly, the skin of a B12 deficient patient
Which medication should be avoided when B12 deficient?
Which medication should be avoided when B12 deficient?
What foods can B12 deficient individuals consume to increase B12 levels?
What foods can B12 deficient individuals consume to increase B12 levels?
Alcohol deficiencies, specifically Alcoholic's Anemia, causes what type of problems in the body
Alcohol deficiencies, specifically Alcoholic's Anemia, causes what type of problems in the body
What nutritional recommendations apply to those suffering from Folic Acid Deficiency Anemia?
What nutritional recommendations apply to those suffering from Folic Acid Deficiency Anemia?
Flashcards
Hematopoiesis
Hematopoiesis
Formation of blood cells; occurs in bone marrow.
RBCs (Erythrocytes)
RBCs (Erythrocytes)
Largest group of blood cells; dependent on nutrition.
Hemoglobin (Hgb)
Hemoglobin (Hgb)
Oxygen-carrying component of red blood cells.
Hematocrit (Hct)
Hematocrit (Hct)
Signup and view all the flashcards
Hemostasis
Hemostasis
Signup and view all the flashcards
Liver's role in erythropoiesis
Liver's role in erythropoiesis
Signup and view all the flashcards
Elevated bands
Elevated bands
Signup and view all the flashcards
B-lymphocytes (B-cells)
B-lymphocytes (B-cells)
Signup and view all the flashcards
T-lymphocytes (T-cells)
T-lymphocytes (T-cells)
Signup and view all the flashcards
Hodgkin's Disease
Hodgkin's Disease
Signup and view all the flashcards
Hemophilia
Hemophilia
Signup and view all the flashcards
Hemarthrosis
Hemarthrosis
Signup and view all the flashcards
Sickle cell anemia
Sickle cell anemia
Signup and view all the flashcards
Sickle cell pathophysiology
Sickle cell pathophysiology
Signup and view all the flashcards
Splenic sequestration
Splenic sequestration
Signup and view all the flashcards
Aplastic crisis
Aplastic crisis
Signup and view all the flashcards
Supplemental Oxygen
Supplemental Oxygen
Signup and view all the flashcards
Blanching
Blanching
Signup and view all the flashcards
Bone marrow aspiration
Bone marrow aspiration
Signup and view all the flashcards
Iron deficiency anemia (an abnormal lab)
Iron deficiency anemia (an abnormal lab)
Signup and view all the flashcards
Neutropenia
Neutropenia
Signup and view all the flashcards
Neutropenic diet
Neutropenic diet
Signup and view all the flashcards
Pernicious anemia
Pernicious anemia
Signup and view all the flashcards
Vegan B12 recommendations
Vegan B12 recommendations
Signup and view all the flashcards
Polyethylene glycol 3350 (MiraLAX) Docusate sodium (Senokot)
Polyethylene glycol 3350 (MiraLAX) Docusate sodium (Senokot)
Signup and view all the flashcards
Skin cancer risk factors
Skin cancer risk factors
Signup and view all the flashcards
Skin cancer identifiers
Skin cancer identifiers
Signup and view all the flashcards
Herpes Zoster
Herpes Zoster
Signup and view all the flashcards
Fungal Tinea Infections
Fungal Tinea Infections
Signup and view all the flashcards
Pressure ulcer
Pressure ulcer
Signup and view all the flashcards
Prvention for pressure ulcers
Prvention for pressure ulcers
Signup and view all the flashcards
Development of pressure ulcers
Development of pressure ulcers
Signup and view all the flashcards
Suspected deep tissue (DTI)
Suspected deep tissue (DTI)
Signup and view all the flashcards
Stage II - Pressure ulcers
Stage II - Pressure ulcers
Signup and view all the flashcards
Stage III ulcers
Stage III ulcers
Signup and view all the flashcards
Stage four ulcers
Stage four ulcers
Signup and view all the flashcards
Unstagable areas
Unstagable areas
Signup and view all the flashcards
Systemic effects- fluid changes
Systemic effects- fluid changes
Signup and view all the flashcards
Immediate care at scene: burm patient
Immediate care at scene: burm patient
Signup and view all the flashcards
Study Notes
Bone Marrow
- Hematopoiesis, the formation of blood cells, occurs in the bone marrow.
- Blood cells formation and maturation occurs in the bone marrow.
- In anemic conditions, blood cell production is decreased or delayed.
RBC’s (Erythrocytes)
- RBCs are the largest group of blood cells.
- Erythrocyte production relies on adequate nutrition, including vitamins.
- RBCs are formed in bone marrow.
- Hemoglobin (Hgb) is contained within RBCs and carries oxygen.
- Hematocrit (Hct) is contained within RBC's and measures the count of RBCs.
- Carries antigens, including antibodies which determine blood type.
- Normal erythrocyte production needs iron, Vitamin B12, folic acid, Vitamin B6, and protein.
- Normal RBC range is 4.1-5.3 million/mm3.
WBC’s (Leukocytes)
- Protein is essential for WBCs to perform their functions.
- Neutrophils are a mature type of WBC involved in phagocytosis and fighting infection.
- Band cells are immature neutrophils, and elevated levels indicate infection.
- B-lymphocytes (B-cells) produce antibodies against specific antigens.
- T-lymphocytes (T-cells) directly attack infected cells.
Hemostasis
- Hemostasis is the body’s ability to prevent blood loss through blood clotting.
Liver
- The liver promotes erythropoiesis if bone marrow production is insufficient.
- Patients with liver dysfunction are at high risk for anemia, endocrine disorders, malnutrition, and drug toxicities.
Diagnostic Tests & Procedures
- WBC normal range is 5,000–10,000/µL.
- Hemoglobin (Hgb):
- Male: 14–18 g/dL
- Female: 12–16 g/Dl
- Hematocrit:
- Male: 40%–52%
- Female: 37%–47%
- Platelets: 150–400,000/mm³
- Schilling Test assesses Pernicious anemia-B12 absorption.
Cell Type and Major Function
- WBC (Leukocyte): Fights infection.
- Neutrophil: Prevents or limits bacterial infection via phagocytosis.
- Monocyte: Enters tissue as macrophage; highly phagocytosis; esp. against fungus.
- Eosinophil: Involved in allergic reactions (neutralizes histamine); digests foreign protein.
- Basophil: Contains histamine; integral part hypersensitivity reactions.
- Lymphocyte: Integral component of the immune system.
- T lymphocyte: Cell-mediated immunity; recognizes material as “foreign".
- B lymphocyte: Responsible for antibody-immunity; many mature into plasma cells to form antibodies.
- Plasma cell: Secretes immunoglobulin; most mature to form B lymphocyte.
- RBC (erythrocyte): Carries hemoglobin to provide O2 to tissues; lifespan 120 days.
- Platelet (thrombocyte): Provides bases for coagulation to occur; maintains hemostasis; lifespan 7 days.
Nursing Alerts
- False elevated hematocrit (Hct.) occurs in fluid volume loss (DEHYDRATION).
- Falsely lower hematocrit is seen in fluid gain (hemodilution).
Malignant Lymphoma
- Hodgkin’s disease: Proliferation of malignant Reed-Sternberg cells (looks like an owl) within lymph nodes.
- Reed-Sternberg cells proliferate in a single lymph node, spreading through the lymphatic system to other nodes and organs.
Assessment Findings of Hodgkin’s Disease
- Painless enlargement of lymph nodes begins on one side of the neck (cervical or supraclavicular).
- Other findings include dyspnea, bone pain, dysphagia, edema, and cyanosis of face and neck.
- Experience recurrent, intermittent fever without apparent reason.
- Drenching night sweats.
- Fatigue, malaise, cough, recurrent infection.
- Weight loss of more than 10% in <6 months.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.