HEMATOLOGIC, IMMUNE SYSTEMS AND CANCER Flashcards

(85 cards)

1
Q

Clients with type O, Rh negative blood group

A

are universal donors

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2
Q

Client with AB blood group

A

universal recipient

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3
Q

The most common transfusion reaction is

A

febrile

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4
Q

The only solution that can safely be given during a blood transfusion

A

normal saline solution

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5
Q

If hives is the only allergic reaction during a blood transfusion, proceed at a

A

slower rate (check institution guidelines)

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6
Q

The American Association of Blood Banks recommends that blood or blood components should be

A

transfused within 4 hours

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7
Q

HIV is commonly easily transmitted in

A

blood, semen, and vaginal secretions

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8
Q

HIV can also be found in

A

urine, feces, saliva, tears and breast milk

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9
Q

HIV positive women should not

A

breast feed

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10
Q

Essential Hypertension

A

has no known etiology

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11
Q

Essential Hypertension

A

accounts for 85-90 percent

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12
Q

Thromboangitis Obliterans

A

Buerger’s Disease

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13
Q

Thromboangitis Obliterans

A

is a chronic inflammation of arteries and veins

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14
Q

Only blood, semen, vaginal secretions and human milk have been implicated in the transmission of

A

AIDS

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15
Q

Thromboangitis Obliterans

A

secondary inflammation of nerves

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16
Q

Beurger-Allen exercises

A

improve peripheral arterial circulation and are used in the treatment

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17
Q

Beurger-Allen exercises

A

treat Buerger’s disease

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18
Q

Raynaud’s disease

A

vasospastic condition of digital arteries that occurs with exposure to cold or to strong emotions

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19
Q

Do not administer live vaccines

A

immune suppressed person

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20
Q

Do not take blood pressure on the arm with a

A

arteriovenous shunt or fistula

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21
Q

Hemophilia

A

an X-linked recessive bleeding disorder passed from the female to her male offspring

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22
Q

To prevent bleeding episodes

A

a client with Hemophilia should be instructed to avoid contact sports

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23
Q

X-linked recessive bleeding disorder

A

Hemophilia

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24
Q

Pernicious anemia

A

caused by a lack of intrinsic factors needed to absorb B12

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25
enhances absorption of iron
take with orange juice or ascorbic acid
26
Thrombocytopenia
a decreased number of platelets
27
Platelets
necessary for clot formation
28
Petechiae and bruising
signs of decreased number of platelets
29
Heparin
prolongs the time needed for blood to clot but does not thin the blood
30
CD4+ cell count
measure of the damage to the immune system caused by HIV and the body’s ability to fight it
31
somewhat unpredictable disease characterized by periods of exacerbation and remission. There is no cure but symptoms can be managed at times
rheumathoid arthritis
32
avoid contact sports
patient with Hemophilia
33
Cancerous mass
unilateral, nontender with a single focus in one area
34
solid, hard, dense, and fixed to underlying tissues or skin as cancer becomes invasive
Cancerous mass
35
Breast cancer
most common in upper outer quadrant, often painless, although person may have pain
36
As cancer advances signs include
firm or hard irregular axillary nodes; skin dimpling, nipple retraction, elevation and discharge
37
Breast self-exam
done monthly for the early detection of breast cancer
38
Breast cancer
usually found in women 30 to 80 years of age
39
increased risk of breast cancer
ages 40 to 44 and in women older than 50 years
40
Mammography
done from age 35 years to detect breast cancer
41
The location of cancer with the highest mortality rate
lung
42
Pap smear
screening tool for cervical cancer
43
Done yearly from age 18 or when sexually active
Pap smear
44
two locations with the highest incidence rate of cancer in males
lung and the prostate
45
Three general signs and symptoms of cancer
anemia, weakness, and weight loss
46
two locations with the highest incidence of cancer in women are the
breast and the colon/rectum
47
Three host factors that increase the risk for developing cancer that cannot be controlled
age over 40, being male, and race
48
When tumor spreads from its primary site
metastasis
49
The most common sites of tumor migration
lymph system, lungs, bone, liver and brain
50
Normal testis
feels like a small hard-boiled egg
51
No hard and firm nodules should be palpated on the surface of the
testis
52
Chemotherapeutic drugs
produce bone marrow depression, resulting in reduced red blood cell counts (anemia), white blood cell counts (leucopenia), and platelet count (thrombocytopenia)
53
Never touch with bare hands, forceps and containers should be placed in patient’s room
Radium Implants
54
The client who has an A-V fistula should not
have blood pressure, venipuncture's, or IM injections on the arm with the fistula
55
Clients with pernicious anemia are
susceptible to gastric carcinomas
56
Liquid iron
preparations should be diluted
57
Clients with pernicious anemia
should be monitored closely for symptoms
58
Give IM iron preparation by
Z-track method
59
Liquid iron
Should be given through a straw to prevent staining of teeth
60
IM iron preparation
use separate needles to withdraw medication and to inject
61
Buerger’s disease and Raynaud’s disease
smoking cessation should be a therapeutic goal
62
Symptoms of anemia
pallor, tachypnea, irritability and lethargy and generalized weakness
63
HIV infection can occur vertically during
pregnancy or a vaginal birth and through breast-feeding
64
Clients with anemia
fatigue easily and need period of rest between activities to conserve energy
65
When a nurse is accidentally stuck with a needle
the employer will want to test the nurse immediately to determine whether a preexisting infection is present and again in 3 months to detect seroconversion
66
The assessment findings encountered in clients with multiple myeloma are
pathological fractures
67
the patient begins to hemorrhage after the initial hypercoagulability uses up the clotting factors in the blood
DIC patient
68
Administering heparin
a critical nursing intervention in DIC pt
69
Testicular cancers occur between the ages
18 and 35 years
70
Women who are at risk for cervical cancer are
women who were involved in sexual relations at an earlier age, women with multiple sex partners, women infected with the human papilloma virus (HPV), women who smoke, women who use oral contraceptives and women who have multiple pregnancy and birth
71
Testicular cancers occur between the ages
18 and 35 years
72
occur in whites relatively rare in blacks and other races
Testicular cancers
73
Testicular cancers
Most important risk factor is undescended testis, even those surgically corrected
74
When a client has radium implant
organize nursing care to decrease time at bedside and thus keep radiation exposure to a minimum
75
The incidence rates of prostate cancer are
50% higher in black men than other racial groups
76
prostate cancer
The mortality rate is 2 times higher for black men than whites
77
Dietary fat has been considered a factor in the increase rate of incidence in prostate cancer
prostate cancer
78
Nursing intervention for client with iron deficiency anemia should include
helping patient arrange periods of rest
79
The Nursing Diagnosis category for a patient with Leukemia is
“Risk for injury from infection or bleeding related to pancytopenia”
80
He must be HIV positive, have a CD4 positive cell count below 200 cells/ul and the presence of one or more specific conditions that include acute infection
Three criteria must be met for a client to be diagnosed with AIDS
81
Client teaching for patient with sickle cell anemia to prevent acute episodes is to
avoid tight clothing, strenuous exercise, cold temperature, avoid smoking, do not fly in unpressurized planes
82
the nurse should instruct the client to sit in an upright position, leaning slightly forward which would avoid vascular pressure to the nose and avoids the client from aspirating blood.
When a patient develops epistaxis
83
If the nurse suspects a hemolytic or febrile reaction during a blood transfusion
the transfusion should be stopped immediately
84
Keep IV access. Replace transfusion with normal saline
If the nurse suspects a hemolytic or febrile reaction during a blood transfusion
85
Assess a male client who is non-compliant with anti-hypertensive drugs for effects of drugs
on sexual