Chapter 25 Flashcards

1
Q

In which of the following situations would a transfusion reaction most likely occur?

A

A person with type O blood receives type AB blood

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2
Q

Common signs and symptoms of lymphoma include:

A

night sweats and chills.

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3
Q

You are transporting a 55-year-old woman to the hospital. The patient has lymphoma and complains of generalized, severe pain. She is receiving supplemental oxygen and has an IV line of normal saline established. Her blood pressure is 110/64 mm Hg, pulse rate is 104 beats/min and regular, and respirations are 22 breaths/min and adequate. You should:

A

administer narcotic analgesia as needed while closely monitoring her blood pressure.

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4
Q

A 23-year-old woman with sickle cell disease presents with severe joint pain and a fever of 102.5 degrees Fahrenheit. She is conscious and alert, and tells you that her symptoms began yesterday and suddenly worsened today. Her blood pressure is 118/76 mm Hg, pulse rate is 120 beats/min and regular, and respirations are 24 breaths/min with adequate depth. After applying supplemental oxygen and initiating transport, you should:

A

monitor her oxygen saturation and cardiac rhythm, start an IV line with normal saline, administer 1 µg/kg of fentanyl, and reassess her vital signs.

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5
Q

The hematocrit is the:

A

overall proportion of red blood cells in the blood.

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6
Q

Most of the blood’s formed elements are:

A

erythrocytes.

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7
Q

You are dispatched to a residence for a 29-year-old woman with difficulty breathing. The patient was recently diagnosed with leukemia and has just completed her first round of chemotherapy. Upon arriving at the scene, you find the patient sitting in a recliner. Her level of consciousness is markedly diminished and her breathing is shallow. You should:

A

move her to the floor and open her airway.

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8
Q

Production of clotting factors is a function of the:

A

liver.

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9
Q

Which of the following statements regarding leukemia is correct?

A

Leukemia is the result of abnormal white blood cell development.

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10
Q

Which of the following assessment findings is most suggestive of disseminated intravascular coagulation?

A

Purpura

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