Deck 13: Infection and Inflammation

Question 1

What does red blood cell distribution width indicate?
1)The average concentration of hemoglobin in each red blood cell
2)The number of new red blood cells in blood
3)The percentage of blood volume that consists of red cells
4)The variation in red blood cell size and width

Answer 1

4

Question 2

Which diagnostic finding is most likely to be observed in a client with aplastic anemia?
1)Decreased production of T cells
2)Decreased red blood cells,white blood cells,and platelets
3)Decreased level of immunoglobulin A
4)Decreased number of Kupffer cells

Answer 2

2

Question 3

Which condition leads to increased reticulocyte count in blood?
1)Excess blood loss from the body
2)Suppression of the bone marrow
3)Poor production of red blood cells
4)All of the above

Answer 3

1

Question 4

A 65-year-old client is diagnosed with aplastic anemia.Which condition should the nurse monitor primarily in the client?
1)Hypertension
2)Dyspnea
3)Hematochezia
4)Bleeding diathesis

Question 5

A child with sickle cell anemia experiences vaso-occlusive episodes.Which is the primary nursing objective while caring for the child?
1)Managing pain
2)Administering antibiotics
3)Heating the room to comfort the client
4)Restricting fluids

Question 6

A client's pulse oximetry reading is 100%;however,the hemoglobin level is 8.5 g/dL.The client's spouse asks the nurse what activities the client can safely carry out.Which activity would the nurse recommend?
1)Rock climbing
2)Skiing
3)Trekking
4)Road trip

Question 7

What factor would contribute to a client having a high hemoglobin count?
1)Being a female
2)Living at high altitudes
3)Being of African-American decent
4)All of the above

Question 8

People with what blood type are known as universal recipients?
1)A positive
2)B negative
3)AB positive
4)None of the above

Question 9

A client who complains of weakness is found to have developed anemia.Which physical manifestation should the nurse look for to confirm that the client has developed iron-deficiency anemia?
1)Cheilitis
2)Koilonychias
3)Glossitis
4)All of the above

Question 10

A 27-year-old male client tells a nurse that his siblings have sickle cell anemia,and he is concerned that his children might be affected by sickle cell anemia in the future.Which is the most appropriate advice the nurse should provide the client?
1)"Your partner and you should consult a genetic counselor."
2)"You will not pass sickle cell anemia to your offspring,so relax."
3)"You might pass sickle cell anemia to your offspring,so adopt a child."
4)None of the above.

Question 11

Which is a characteristic of secondary polycythemia?
1)High erythropoietin level
2)Normal erythropoietin level
3)Increased platelet count
4)Elevated white blood cell count

Question 12

Which is the most common cause of erythropoietin deficiency?
1)Spleen dysfunction
2)Renal failure
3)Hyperthyroidism
4)Bone marrow damage

Question 13

A 39-year-old client complains that he/she feels tired all the time.The client has tachycardia and is pale.The complete blood count with differential reports shows the hemoglobin count as 10 g/dL and the mean corpuscular volume as 75 femoliters.Which condition has the client developed?
1)Microcytic hypochromic anemia
2)Normocytic normochromic anemia
3)Megaloblastic anemia
4)None of the above

Question 14

A nurse is caring for a child with sickle cell anemia.The parent is asking the nurse about a treatment that would cure the child.Which is the best answer the nurse can provide the parent?
1)"Improving the nitric acid bioavailability can cure the child."
2)"Blood transfusion done at frequent intervals can cure the child."
3)"Splenectomy can cure the child."
4)"Treatments are aimed at reducing complications,but do not cure the condition."

Question 15

A client's pulse oximetry reading is 100%;however,the hemoglobin level is 8.5 g/dL.The client's spouse asks the nurse what activities the client can safely carry out.Which activity would the nurse recommend?
1)Rock climbing
2)Skiing
3)Trekking
4)Road trip

Question 16

Which value indicates normal number of red blood cells per liter in males?
1)5 x 10⁶
2)13 x 10⁶
3)80 x 10⁶
4)28 x 10⁶

Question 17

Which condition would a nurse expect in a client with polycythemia vera?
1)Hyperuricemia
2)Orthopnea
3)Angina
4)Ulcers on lower extremities

Question 18

Following an accident,the client arrives to the emergency room bleeding profusely.He had an estimated 15% to 30% blood loss from the body.What happens to the urine output of the body in this condition?
1)Urine output decreases below 30 mL/hour.
2)Urine output decreases to 5 to 15 mL/hour.
3)There is no effect on urine output.
4)None of the above.

Question 19

A registered nurse is teaching a student nurse about the treatments given for sickle cell anemia.Which statement made by the student nurse indicates effective teaching?
1)"Hydroxyurea is used to cure sickle cell anemia."
2)"Acetaminophen is used to manage pain during vaso-occlusive episodes."
3)"Prednisone is used to treat spleen dysfunction in sickle cell anemia"
4)"Nitric acid is effective in decreasing vaso-occlusive episodes."

Question 20

A client has developed microcytic hypochromic anemia.Which dietary intervention should the nurse provide the client?
1)Foods rich in folic acid
2)Foods rich in iron
3)Foods rich in vitamin D
4)Foods rich in vitamin B

Question 21

A nurse is teaching a client with iron-deficiency anemia about the diet that he or she has to follow.Which statements made by the client indicate effective learning? Select all that apply.
1)"Consuming orange juice daily will increase iron absorption."
2)"Drinking a cup of black tea after having meals will increase iron absorption."
3)"Adding meat to my diet will help improve iron deficiency."
4)"Consuming grapes every day will increase iron absorption."
5)"Adding broccoli,beans,and tomato sauce to my diet will help improve iron deficiency."

Question 22

The complete blood count with differential of a client who complains of weakness shows the following. Red blood cells
3)2 cells x 10⁶
Hemoglobin
9 g/dL
Hematocrit
35%
Mean corpuscular value
75
Hemoglobin A
0%
Hemoglobin F
80%
Hemoglobin A2
10%
Which red blood cell disorder has the client developed?
1)Alpha thalassemia
2)Sickle cell anemia
3)Beta thalassemia
4)None of the above