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NRSG 3420 EXAM 1 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED 2024/2025

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NRSG 3420 EXAM 1 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED 2024/2025 Hematopoiesis the process of creating new blood cells Erythrocytes red blood cells; contain hemoglobin to carry oxygen and carbon dioxide; have a life span of 120 days Reticulocytes immature red blood cells Granulocytes white blood cells including neutrophils, eosinophils, basophils Agranulocytes white blood cells including monocytes and lymphocytes Platelets thrombocytes that assist in clotting Hematologic system age changes fatty bone marrow replaces blood forming marrow in the long bones; B12 absorption diminishes resulting in decreased hemoglobin and hematocrit 4.35-5.65 trillion cells/L male red blood cell count 3.92-5.13 trillion cells/L female red blood cell count 13.2-16.6 g/dL male hemoglobin count 11.6-15 g/dL female hemoglobin count 38.3-48.6% male hematocrit percentage 35.5-44.9% female hematocrit percentage 3.4-9.6 billion cells/L white blood cell count 135-317 billion/L male platelet count 157-371 billion/L female platelet count Hypersensitivity an abnormal, individual response to a certain substance that normally does not trigger such an exaggerated reaction Anaphylaxis a serious and immediate hypersensitivity reaction that releases histamine from damaged cells; assess respiratory status and maintain a patent airway, call HCP, administer oxygen, start IV, administer ordered epi or diphenhydramine, document Immunodeficiency the absence or inadequate production of immune bodies; may be congenial or acquired Systemic lupus erythematosus Chronic, progressive, systemic inflammatory disease that can cause major organs and systems to fail; connective tissue and fibrin deposits collect in blood vessels on collagen fibers and on organs; the deposits lead to necrosis and inflammation in blood vessels, lymph nodes, gastrointestinal tract, and pleura; no cure for the disease is known but remissions are frequently experienced by clients who manage their care well; assess for rash, weight loss, photosensitivity, BUN and creatinine for renal impairment Scleroderma chronic connective tissue disease affecting connective tissue and fibrotic changes involving the skin, heart, lungs, kidneys, GI tract; assess for pain, edema, changes to skin, dysphagia Lyme disease infection caused by tick bites that stimulates inflammatory cytokines and autoimmune mechanisms; assess for ring shaped rash and flu like symptoms days to months after being bitten, may cause neurologic and cardiac complications; remove tick, perform blood test 4-6 weeks after, initiate antibiotic therapy immediately AIDS chronic illness that is caused by a virus that destroys T cells resulting in infections and malignancy; assess for flu like symptoms, lymphadenopathy, night sweats, infections; CD4 and T cell levels will be below 200 cells/L Kaposki's sarcoma

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NRSG 3420 EXAM 1 QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS VERIFIED 2024/2025


Hematopoiesis

the process of creating new blood cells

Erythrocytes

red blood cells; contain hemoglobin to carry oxygen and carbon dioxide; have a life

span of 120 days

Reticulocytes

immature red blood cells

Granulocytes

white blood cells including neutrophils, eosinophils, basophils

Agranulocytes

white blood cells including monocytes and lymphocytes

Platelets

thrombocytes that assist in clotting

Hematologic system age changes

fatty bone marrow replaces blood forming marrow in the long bones; B12 absorption

diminishes resulting in decreased hemoglobin and hematocrit

4.35-5.65 trillion cells/L

male red blood cell count

3.92-5.13 trillion cells/L

,female red blood cell count

13.2-16.6 g/dL

male hemoglobin count

11.6-15 g/dL

female hemoglobin count

38.3-48.6%

male hematocrit percentage

35.5-44.9%

female hematocrit percentage

3.4-9.6 billion cells/L

white blood cell count

135-317 billion/L

male platelet count

157-371 billion/L

female platelet count

Hypersensitivity

an abnormal, individual response to a certain substance that normally does not trigger

such an exaggerated reaction

Anaphylaxis

a serious and immediate hypersensitivity reaction that releases histamine from

damaged cells; assess respiratory status and maintain a patent airway, call HCP,

administer oxygen, start IV, administer ordered epi or diphenhydramine, document

Immunodeficiency

, the absence or inadequate production of immune bodies; may be congenial or acquired

Systemic lupus erythematosus

Chronic, progressive, systemic inflammatory disease that can cause major organs and

systems to fail; connective tissue and fibrin deposits collect in blood vessels on collagen

fibers and on organs; the deposits lead to necrosis and inflammation in blood vessels,

lymph nodes, gastrointestinal tract, and pleura; no cure for the disease is known but

remissions are frequently experienced by clients who manage their care well; assess for

rash, weight loss, photosensitivity, BUN and creatinine for renal impairment

Scleroderma

chronic connective tissue disease affecting connective tissue and fibrotic changes

involving the skin, heart, lungs, kidneys, GI tract; assess for pain, edema, changes to

skin, dysphagia

Lyme disease

infection caused by tick bites that stimulates inflammatory cytokines and autoimmune

mechanisms; assess for ring shaped rash and flu like symptoms days to months after

being bitten, may cause neurologic and cardiac complications; remove tick, perform

blood test 4-6 weeks after, initiate antibiotic therapy immediately

AIDS

chronic illness that is caused by a virus that destroys T cells resulting in infections and

malignancy; assess for flu like symptoms, lymphadenopathy, night sweats, infections;

CD4 and T cell levels will be below 200 cells/L

Kaposki's sarcoma

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