Blood Disorder

Question 1

A malignancy that produces enlargement of lymphoid tissue, the spleen, and liver with invasion of other tissues such as bone marrow and lungs.

Signs are painless enlargement of one or more lymph nodes.

Answer 1

Hodgkin disease

Question 2

A group of 30 sub classifications of malignant diseases that originate in lymph glands and other lymphoid tissue

Signs is lymph node enlargement usually diffuse rather than localized- cervical, axillary, or inguinal regions.

Answer 2

Non Hodgkin’s lymphoma

Question 3

____ is small hemorrhages in the skin, mucus membranes, or subcutaneous tissue.

Answer 3

Purpura

Question 4

Tiny reddish hemorrhage spots on the skin and mucus membranes

Answer 4

Petechia

Question 5

____ is bruising red bleeding

Answer 5

Ecchymosis

Question 6

To many RBC

Answer 6

Polycythemia

Question 7

Low platelet coins

Answer 7

Thrombocytopenia

Question 8

____ is inflammatory response and defense against bacterial infections

Answer 8

Neutrophils

Question 9

____ phagocytize foreign material

Answer 9

Eosinophils

Question 10

____ is humoral immunity by producing antibodies. T lymph provide cellular immunity

Answer 10

Lymphocytes

Question 11

The ingestion and digestion of bacteria and foreign substances

Answer 11

Phagocytosis

Question 12

____ ____ is lacking a intrinsic factor normally present in stomach secretions or fails to consume sufficient dietary resources of extrinsic factor

Answer 12

Pernicious anemia

Question 13

Signs of ____ ____ is jaundice, irritability, confusion, depression, numbness, tingling in arms and legs & ataxia. Can lose vibration and position senses

Answer 13

Pernicious anemia

Question 14

____ is a clotting agent

Answer 14

Prothrombin

Question 15

_____ test is used to DX pernicious anemia

Answer 15

Schillings test

Question 16

___ is obstructed lymph circulation causes an accumulation of lymph within soft tissue

Answer 16

Lymphedema

Question 17

_____ is where the penis becomes engorged and remains persistently erect

Answer 17

Priapism

Question 18

____ ____ is infectious mononucleosis

Answer 18

Epstein Barr

Question 19

____ is hormone released by kidney stimulates bone marrow to make erythrocytes

Answer 19

Erythropoietin

Question 20

____ ___ is more than a deficiency of erythrocytes but also leukocytes and platelets.

It’s a consequence of inadequate stem cell production of bone marrow.

Side effects is weakness and fatigue, coagulation, abnormalities, unusual bleeding, small hemorrhage, and bruises, spleen enlarged.

Treatment: transfusions of whole blood, packed cells and platelets, antibiotics to prevent or treat infections and high doses of corticosteroids, bone marrow transplant

Answer 20

Aplastic anemia

Question 21

____-____ ____ are nearly immortal continue to reproduce prolifically and a similar appearance to Normal lymphocytes

Answer 21

Reed-Sternberg cells

Question 22

_____ is a group of cancers that affect lymphatic system

Answer 22

Lymphoma

Question 23

____ ____ is an almost insoluable compound which is a break down product of nitrogenous metabolism

Answer 23

Uric acid

Question 24

____ is where whole blood is removed from donor through one needle in one arm. Circulated through separator and returned to donor through needle in other arm. Cross matching is unnecessary. Need ABO compatibility

Answer 24

Pheresis

Question 25

____ ___ prevents or modifies infectious disease (tetanus, mumps, rubella, pertussis)

Answer 25

Gamma globulin.

Question 26

___ ___ maintains osmotic pressure of the plasma (burns, liver disease, shock)

Answer 26

Serum albumin

Question 27

____ is a essential clotting factor

Answer 27

Fibrinogen

Question 28

_____ 5-20 ml restores clotting factors. Can give separate specific factor concentrate

Answer 28

Cryoprecipitate

Question 29

____ _____ is ones own blood given and stored or autotransfused

Answer 29

Autologous blood

Question 30

What two drugs should be given during blood transfusion

Answer 30

Acetaminophen and diphenhydramine

Question 31

Who can start a transfusion?

Answer 31

A RN and has a to be checked by and who licensed nurses. Expiration date, patient name, room number, ID #, ID band, type and RH

Question 32

A LPN can check VS after the first 15 minutes but for the first 15 a RN has to stay with the patient

Answer 32

Know

Question 33

For a transfusion you’ll check baseline VS, then every 15 min x4 then every 30 min until completed.

Answer 33

Know

Question 34

Blood is given with ___ ___ and blood administration has a set filter, 18 or 19 gauge needle. Tubing and filter changed with each unit

Answer 34

Normal saline

Question 35

After the transfusion the bag will have to be returned to the lab/ blood bank. No medications can be added to a blood transfusion

Answer 35

Know

Question 36

Type of transfusion reactions Allergic (to large in donor blood) Signs and Sx urticarial, Pruritus, fever, anxiety. Hemolytic- incompatibility- treat for shock S&S ^ HR, tachycardia, pain in low back, hypotension, oliguria, hematuria, anxiety. Pyogenic (most common)- febrile. Lg donor to platelet, leukocytes or contaminated blood. S&S is fever flushing chills, tachycardia, nausea headache, palpitations, anxiety

Answer 36

Fluid overload- lasix- dough dyspnea

Question 37

__ ___ can occur if blood is infused under pressure S&s is chest pain acute SOB shock and anxiety If this was to happen turn patient on left side trendelenburg and stop the infusion

Answer 37

Air embolism

Question 38

_____ R/T multiple infusions containing anti calcium agents. S&s tingling, muscle cramps, and convulsions

Answer 38

Hypocalcemia

Question 39

___ can be used for detective clotting of blood. FFP contains all factors needed for clotting.

Answer 39

Plasma

Question 40

How do you calculate HCT

Answer 40

HgbX3

Question 41

What’s a normal HGB

Answer 41

12-17.4

Question 42

Normal platelet

Answer 42

150k-350K mm3

Question 43

Leukocyte normal range

Answer 43

5k-10k mm3

Question 44

What’s the 3 types of blood cells produced by bone marrow.

Answer 44

Erythrocytes Leukocytes Platelets

Question 45

____ transports O2 and removes CO2

Answer 45

Erythrocytes

Question 46

___ engulf invading microorganisms and cellular debris and manufacture antibodies

Answer 46

Leukocytes

Question 47

___ help form a clot for blood control

Answer 47

Platelet

Question 48

Transfusion reaction Sign and symptoms Urticarial Puruitus Fever Anxiety Is....

Answer 48

Allergic reaction

Question 49

Sign an symptom for a transfusion reaction ``` N&V Increased HR Tachycardia Pain in low back Hypotension Oliguria Hematuria Anxiety ```

Answer 49

Hemolytic

Question 50

Nursing actions for administering iron ``` Dilute liquid with NS Don’t take anatacid Use Z track method Take on empty stomach Drink orange juice ```

Answer 50

Know

Question 51

___ leukemia has increased immature lymphocytes Normal or decreased granulocytes Erythrocytes and platelet count are decreased

Answer 51

Acute

Question 52

___ leukemia is increased immature lymphocyte Normal or decreased granulocytes Erythrocytes and platelet counts may be NORMAL OR LOW

Answer 52

Chronic

Question 53

Functions of the ____ system Circulates interstitial fluid and carries to veins. Filters and destroys potential harmful substances

Answer 53

Lymph system

Question 54

Signs and symptoms of _____ ___ painless enlargement one or more lymph nodes. Typically cervical. Weight loss, anorexia, fatigue, and weakness. Low grade fever puruitus, and night sweats are common. Marked anemia and thrombocytopenia

Answer 54

Hodgkin’s disease

Question 55

Signs and symptoms of _____ _____ is lymph node enlargement usually diffuse rather than localized. Cervical, axillary, or inguinal regions.

Answer 55

Non Hodgkin’s lymphoma

Question 56

___ ___ signs and symptoms ``` Jaundice Irritability Confusion Depression Numbness Tingling in arms and legs Ataxia Can lose vibration and position senses ```

Answer 56

Pernicious anemia

Question 57

What’s plasma important for

Answer 57

BP and blood volume

Question 58

_____ ___ is a consequence of inadequate stem cell production in bone marrow. Deficiency of erythrocytes, platelets and leukocytes

Answer 58

Aplastic anemia

Question 59

Signs and symptoms of ___ __\ is ``` Weakness Fatigue Coagulation abnormalities Unusual bleeding Small hemorrhages Bruising Spleen enlarged ```

Answer 59

Aplastic anemia