Leonora C
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Test sobre cc Immune, creado por Leonora C el 07/12/2018.

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cc Immune

Pregunta 1 de 20

1

The nurse is assessing a patient being admitted for anemia. The nurse sees no overt signs of bleeding. The nurse understands that

Selecciona una de las siguientes respuestas posibles:

  • mucous membranes have a high threshold for bleeding

  • capillaries in mucous membranes lie deep in the membrane.

  • many patients have bleeding that is not obvious.

  • all patients with bleeding disorders demonstrate active bleeding.

Explicación

Pregunta 2 de 20

1

Cases of primary immunodeficiency are usually related to

Selecciona una de las siguientes respuestas posibles:

  • a single gene defect.

  • malignancies.

  • nutritional deficiencies.

  • aging.

Explicación

Pregunta 3 de 20

1

The patient is admitted with multiple myeloma. The nurse assesses the patient and is aware that the symptom most unique to this disease is

Selecciona una de las siguientes respuestas posibles:

  • lymph node enlargement

  • .
    bone pain.

  • night sweats

  • fever.

Explicación

Pregunta 4 de 20

1

Erythrocytes (RBCs) are flexible biconcave disks without nuclei whose primary component is an oxygen-carrying molecule called

Selecciona una de las siguientes respuestas posibles:

  • a reticulocyte

  • erythropoietin

  • 2,3-DPG

  • hemoglobin

Explicación

Pregunta 5 de 20

1

The patient’s platelet count is 35,000/microliter. The provider prescribes administration of 10 units of single-donor platelets. After transfusion, the nurse can expect the patient’s platelet count to be

Selecciona una de las siguientes respuestas posibles:

  • greater than 150,000/microliter

  • between 150,000/microliter and 185,000/microliter.

  • between 50,000/microliter and 75,000/microliter.

  • between 85,000/microliter and 135,000/microliter.

Explicación

Pregunta 6 de 20

1

The patient is diagnosed with lymphoma but has a normal white blood cell (WBC) count. The nurse understands that this patient

Selecciona una de las siguientes respuestas posibles:

  • will have increased bruising and bleeding.

  • is at risk for infection.

  • has normal WBC function as the WBC is normal.

  • is at risk for an allergic reaction.

Explicación

Pregunta 7 de 20

1

When caring for a patient with HIV, the nurse should

Selecciona una de las siguientes respuestas posibles:

  • assure the patient that infections are not a major problem at this point.

  • inform the patient that the disease does not affect the respiratory system.

  • monitor the patient’s medication regimen.

  • not focus on the mouth, as infections of the mouth are rare.

Explicación

Pregunta 8 de 20

1

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

Selecciona una de las siguientes respuestas posibles:

  • anemia reflective of low volume.

  • hemolytic anemia.

  • aplastic anemia.

  • sickle cell anemia.

Explicación

Pregunta 9 de 20

1

The nurse is evaluating the patient’s laboratory values and notes an IgG level of 240 mg/dL. The nurse realizes that this patient is a candidate for

Selecciona una de las siguientes respuestas posibles:

  • no change in therapy because the level is normal.

  • gene replacement therapy.

  • increased doses of immunosuppressive medications.

  • an immunoglobulin infusion.

Explicación

Pregunta 10 de 20

1

Cellular immunity is mediated by

Selecciona una de las siguientes respuestas posibles:

  • T lymphocytes

  • B lymphocytes.

  • immunoglobulins.

  • suppressor B cells.

Explicación

Pregunta 11 de 20

1

Lymphocytes are made up of B cells and T cells. B cells

Selecciona una de las siguientes respuestas posibles:

  • mediate humoral immunity.

  • migrate to the thymus gland

  • mature in lymphoid tissue.

  • destroy virus-infected cells.

Explicación

Pregunta 12 de 20

1

Critical to caring for the immunocompromised patient is the understanding that

Selecciona una de las siguientes respuestas posibles:

  • the immunocompromised patient has normal white blood cell (WBC) physiology

  • infection is the leading cause of death in these patients.

  • the immunosuppression involves a single element or process

  • immune incompetence is symptomatic even without pathogen exposure.

Explicación

Pregunta 13 de 20

1

A patient with a history of pulmonary embolism is being worked up for a potential coagulopathy that increases the risk for clotting. The nurse understands that the provider may request a test for

Selecciona una de las siguientes respuestas posibles:

  • factor X deficiency

  • factor VII deficiency.

  • factor IX deficiency

  • protein C deficiency

Explicación

Pregunta 14 de 20

1

The nurse is caring for a patient who has undergone a splenectomy and notices that the patient’s platelet count has increased. The nurse realizes that the increase is due to

Selecciona una de las siguientes respuestas posibles:

  • the patient’s inability to store platelets.

  • the platelet’s 120-day life cycle.

  • stimulation secondary to erythropoietin.

  • platelet response to infection.

Explicación

Pregunta 15 de 20

1

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

Selecciona una de las siguientes respuestas posibles:

  • give the RBCs before the platelets

  • give the platelets before the RBCs

  • use local therapies to stop the bleeding.

  • give the platelets and RBCs at the same time.

Explicación

Pregunta 16 de 20

1

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

Selecciona una de las siguientes respuestas posibles:

  • the patient has a bacterial infection.

  • chemotherapeutic agents alter the ability to fight infection.

  • neutrophils have a long life span and multiply slowly

  • a shift to the left is occurring

Explicación

Pregunta 17 de 20

1

In vivo, the primary activator of the coagulation cascade occurs via the

Selecciona una de las siguientes respuestas posibles:

  • either intrinsic or extrinsic pathway.

  • intrinsic pathway

  • extrinsic pathway

  • common pathway.

Explicación

Pregunta 18 de 20

1

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

Selecciona una de las siguientes respuestas posibles:

  • this is a normal platelet level.

  • this level is considered slightly low.

  • spontaneous bleeding may occur.

  • the patient is at great risk for fatal hemorrhage.

Explicación

Pregunta 19 de 20

1

Common to both the intrinsic and the extrinsic pathway is

Selecciona una de las siguientes respuestas posibles:

  • factor X.

  • factor XII.

  • subendothelial collagen

  • factor VII.

Explicación

Pregunta 20 de 20

1

Erythrocytes (RBCs) are generated from precursor stem cells under the influence of a growth factor called

Selecciona una de las siguientes respuestas posibles:

  • erythropoietin.

  • 2,3-DPG.

  • hemoglobin.

  • reticulocytes.

Explicación

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