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Exam 17: Hematological and Immune Disorders

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Question 21

Multiple Choice

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The nurse is caring for a patient with cirrhosis of the liver.The nurse notes fresh blood starting to ooze from the patient's rectum and intravenous site.The nurse contacts the provider expecting a prescription for

A) an infusion of protein S factor.
B) blood work to evaluate protein C level.
C) a laboratory test to determine factor X level.
D) vitamin K injections.

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Question 22

Multiple Choice

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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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Question 23

Multiple Choice

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Two types of specific immune responses exist: humoral immunity and cell-mediated immunity.These responses

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

Common to both the intrinsic and the extrinsic pathway is

Autoimmunity can result from

The ratio of helper T? cell to suppressor T cells is normally 2:1.A lower-than-normal ratio may indicate acquired immunodeficiency syndrome (AIDS) .This is because T? cells

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

With minor vessel injury,primary hemostasis is achieved

In caring for the patient who has a coagulopathy,the nurse should

Inflammation is initiated by cellular injury and

Desired patient outcomes for immunocompromised patient related to medical and nursing interventions include absence of infection,negative cultures,and an absolute neutrophil count of

The patient is admitted with reports of chronic fatigue and shortness of breath.The nurse notices that the patient is tachycardic and has multiple bruises and petechiae on the body and arms.The patient also complains of frequent nosebleeds.The nurse should evaluate the patient's ___________________

The patient is complaining of severe joint pain,as well as fatigue and shortness of breath.The nurse notices that the patient's joints are swollen and the legs are edematous.The nurse realizes that these are symptoms of

The patient has yellow skin and low hemoglobin and hematocrit levels.The nurse should look for

The nurse is caring for a patient receiving chemotherapeutic agents and notices that the patient's neutrophil count is low.The nurse realizes that

The patient is admitted with neutropenia.The nurse should assess the patient frequently for

The patient is admitted with anemia and active bleeding.The nurse suspects intravascular disseminated coagulation (DIC) .Definitive diagnosis of DIC is made by evidence of

The patient is admitted with anemia caused by blood loss and thrombocytopenia and has a platelet count of 22,000/microliter.The patient is scheduled for a transfusion of RBCs and a transfusion of platelets.The nurse should

The nurse is caring for an elderly patient who is being admitted for anemia of unknown cause.The patient has been on multiple medications at home for various ailments.In assessing the patient's medication list,the nurse notes medications that may alter hemostasis,including which of the following: