SOLVED

Chapter 27 Question 1 A patient was admitted through the emergency department with fractures of the skull, ribs, and both femurs sustained from a motor vehicle accident. The nurse provides care based upon changes in which pathophysiological process? 1. Formation of red blood cells 2. Cellular and humoral immune responses 3. Formation of plasma 4. Antigen–antibody formation Question 2 A patient diagnosed with leukemia has minimal white blood cells. The nurse realizes which intervention may be indicated for this patient? 1. Infusion of fresh frozen plasma 2. Infusion of red blood cells 3. Bone marrow transplant 4. Immunizations Question 3 A patient is admitted with left lower thoracic rib injuries. The nurse realizes this injury could result in which problem for this patient? 1. Decrease in platelet maturation 2. Decreased availability of B cells 3. Reduction in T cell formation 4. Reduction in filtering of foreign matter in the blood Question 4 A patient is diagnosed with a low red blood cell count. The nurse should assess this patient for which finding? 1. History of fractures 2. Carbohydrate intake 3. Location of joint replacements 4. Renal functioning Question 5 A patient is admitted with iron deficiency anemia. The nurse assesses this patient for the presence of which most likely finding? 1. Hypoxia 2. Reduced urine output 3. Bleeding 4. Dehydration Question 6 A patient is prescribed vitamin B12 injections. What information should the nurse provide when starting this medication? 1. “Vitamin B12 will strengthen the red blood cells’ membranes and prevent them from being damaged so easily.” 2. “Vitamin B12 is needed for normal manufacture of red blood cells.” 3. “Vitamin B12 will increase the ability of your blood to carry oxygen.” 4. “Vitamin B12 helps build the components of white blood cells.” Question 7 A patient is concerned that the disease that has affected his horses will cause him to become ill. What information should the nurse provide? 1. “You will probably contract the same illness but in a milder form.” 2. “Many illnesses are species specific and it is not likely that you will contract the same illness as your horses.” 3. “All illnesses can be transmitted between animals and humans, so I am glad you came in to be checked.” 4. “There are vaccinations against diseases caused by horses. I would talk with the veterinarian.” Question 8 A patient is admitted with a leg wound with a large amount of pus exudate. The nurse assesses that which part of the immune process is functioning? 1. The complement system causing cellular destruction 2. The natural killer lymphocytes circulating through the lymph 3. The neutrophils arriving at the wound as the first line of defense 4. The macrophages circulating in the blood Question 9 The nurse caring for a patient with an infected leg wound realizes that neutrophils and macrophages will arrive to the wound as a part of the natural body response. How would the nurse explain this process to the patient? 1. “Your white blood cells will travel through your lymph system to the wound.” 2. “Chemical signals from the injured tissue help guide the white blood cells to where they are needed.” 3. “Only the white blood cells already in your system will be able to fight this infection.” 4. “The white blood cells attach to red blood cells for transport to the wound.” Question 10 A patient tells the nurse that he thought he had a varicella vaccine as a child. His daughter has just developed varicella. What information should the nurse provide? 1. “Since you were vaccinated you won’t contract varicella from your daughter.” 2. “Your innate immunity will protect you from contracting this disease.” 3. “It is dangerous to give a second injection of vaccines.” 4. “You may need an injection to boost your immunity.” 5. “We can check your blood titer to check your immunity.”