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Hematology - Pathophysiology

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A nurse is discussing a granulocyte. Which type of cell is the nurse describing?

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Terms in this set (75)

A nurse is discussing a granulocyte. Which type of cell is the nurse describing?

Neutrophil (Neutrophils, eosinophils and basophils are types of granulocytes)

A patient has a decreased number of leukocytes. Which term will the nurse use to describe this finding?

Leukopenia (Leukopenia is present when the count is lower than normal)

A nurse wants to talk about the most common granulocyte cell. Which type of cells will the nurse describe?

Neutrophils (Neutrophilia is another term that may be used to describe granulocytosis because neutrophils are the most numerous of the granulocytes)

A patient has a shift to the left or left shift. What other term can the nurse use to describe this finding?

Leukemoid reaction (Premature release of the immature cells is responsible for the phenomenon known as a shift to the left or leukemoid reaction)

A patient has rheumatoid arthritis and the neutrophils are being sequestered in the spleen. Which diagnosis will the nurse observe documented on the chart?

Felty syndrome (Abnormal neutrophil distribution and sequestration are associated with hypersplenism and a pseudoneutropenia, which in the presence of rheumatoid arthritis constitute Felty syndrome.)

A patient has monocytopenia. Which history data is significant for the monocytopenia?

Uses prednisone/glucocorticoid therapy (Monocytopenia, a decrease in monocytes, is rare but has been identified with hairy cell leukemia and prednisone/glucocorticoid therapy)

A patient has an infection with the Epstein Barr virus. Which lab result will be elevated?

Lymphocytes (Lymphocytosis is rare in acute bacterial infections and is seen most commonly in acute viral infections, particularly those caused by the Epstein-Barr virus (EBV), a causative agent in infectious mononucleosis)

Which information should the nurse include when discussing the pathophysiology of infectious mononucleosis?

An infection of B lymphocytes caused by the Epstein-Barr virus (Infectious mononucleosis is an infection of B lymphocytes caused by the Epstein-Barr virus (EBV).)

A patient has chronic leukemia. Which cell is most affected?

Mature cells (In chronic leukemia, the predominant cell is more mature but does not function normally)

Which information should the nurse include when describing the pathophysiology of chronic myelogenous leukemia (CML)?

A specific chromosomal translocation called the Philadelphia chromosome (CML is more common in middle-aged to older adults and is frequently associated with a specific chromosomal translocation, called the Philadelphia chromosome.)

Which staging classification system can the nurse use to help classify the stage of Hodgkin disease?

Cotswold (Hodgkin disease is further classified by its clinical stage, called the Cotswold Stage.)

A patient has recently been diagnosed with Lymphoblastic lymphoma (LL). Which initial assessment is typical of this disease?

Painless swollen lymph nodes in the neck (The first sign of LL is usually a painless lymphadenopathy in the neck.)

A patient has heparin induced thrombocytopenia. Which treatment should the nurse implement?

Stop the heparin (Treatment is the withdrawal of heparin and use of alternative anticoagulants.)

A child is admitted with acute idiopathic thrombocytopenic purpura (ITP). Which history data is significant for ITP?

Recently had a viral infection (Acute ITP is usually secondary to infections (particularly viral).)

A patient is admitted to the Emergency department with thrombotic thrombocytopenic purpura (TTP). Which principle should guide nursing care?

This is a life-threatening multisystem disorder (Thrombotic thrombocytopenia purpura (TTP) is a life-threatening multisystem disorder.)