Question 6131)
Which is contraindicated for a client with disseminated intravascular coagulation (DIC)?
A. treating the underlying cause
B. administering heparin
C. administering warfarin sodium
D. replacing depleted products
Answer: C
Explanation: DIC has not been found to respond to oral anticoagulants such as warfarin sodium.
Question 6132)
Which is a finding associated with internal bleeding with disseminated intravascular coagulation?
A. Bradycardia
B. Hypertension
C. Increasing abdominal girth
D. Petechiae
Answer: C
Explanation: As blood collects in the peritoneal cavity, it causes dilation and distention, which is reflected in increased abdominal girth.
Question 6133)
A client with neutropenia has an absolute neutrophil count (ANC) of 900. What is the client's risk of infection?
A. normal risk
B. moderate risk
C. high risk
D. extremely high risk
Answer: B
Explanation: A client is at moderate risk when the ANC is < 1,000.
Question 6134)
Twenty-four hours after a bone marrow aspiration, the nurse evaluates which client outcome as an appropriate one?
A. The client maintains bed rest.
B. There is redness and swelling at the aspiration site.
C. The client requests a strong analgesic for pain.
D. There is no bleeding at the aspiration site.
Answer: D
Explanation: After a bone marrow aspiration, the puncture site should be checked every 10 to 15 minutes for bleeding.
Question 6135)
Which clinical manifestation does the nurse most likely observe in a client with Hodgkin's disease?
A. difficulty swallowing
B. painless, enlarged cervical lymph nodes
C. difficulty breathing
D. a feeling of fullness over the liver
Answer: B
Explanation: Painless and enlarged cervical lymph nodes, tachycardia, weight loss, weakness and fatigue, and night sweats are signs of Hodgkin's disease.
Question 6136)
Platelets:
A. Stick to the damages area of a blood vessel and help to seal the break.
B. Have a lifespan of About 120 days.
C. Are the precursors of leukocytes
D. Have multiple nuclei
Answer: A
Explanation: Stick to the damage area of a blood vessel and help to seal the break.
Question 6137)
Fred's blood type was determined to be AB+. Which of the following is true of Fred's blood?
A. There are no antibodies to antigens A,B or Rh is the plasma
B. The RBSs contain the A and B antigens on their nuclei
C. The blood totally lacks the Rh factor.
D. He cannot receive blood from someone who is type O negative.
Answer: A
Explanation: There are no antibodies A,B or Rh is the plasma.
Question 6138)
Anemia is:
A. Any condition in which the body has an abnormally low oxygen carrying capacity.
B. Only a genetic disorder.
C. Marked by a massive increase in blood viscosity
D. Never the result of nutrient deficiency.
Answer: A
Explanation: Any condition in which the bodies has an abnormally low oxygen carrying capacity.
Question 6139)
To enter or leave an cell, substances most pass through :
A. Microtubule
B. The Golgi apparatus
C. A ribosome
D. The plasma membrane
Answer: D
Explanation: To enter or leave the cell, the substance must pass through the cell membranes bcoz cell wall is freely permeable and so it allows any substances to enter the cell. And on the other hand,cell membrane is selectively permeable, so it allows only selective substances to enter the cell.
Question 6140)
During blood donation, the removal of blood components is called:
A. Cytophresis
B. Plasmaphresis
C. Aphresis
D. Leukapheresis
Answer: C
Explanation: Apheresis definition is - withdrawal of blood from a donor's body, removal of one or more blood components (such as plasma, platelets or white blood cells) and transfusion of the remaining blood back into the donor - called also pheresis.
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