A patient with a bleeding disorder is considering surgery to have the spleen removed. What should the nurse explain as being functions of the spleen in a healthy adult? (Select all that apply.)

a. Storage of platelets
b. Formation of bilirubin
c. Production of red blood cells
d. Production of neutrophils and eosinophils
e. Production of lymphocytes and monocytes
f. Phagocytosis of worn blood cells and platelets


ANS: A, B, E, F
The spleen contains B cells and T lymphocytes, which mediate immune responses. It also contains fixed macrophages that phagocytize pathogens and worn or defective blood cells and platelets. The heme unit from red blood cell destruction forms bilirubin. Bilirubin is sent to the liver by way of portal circulation for excretion in the bile. The spleen also stores up to one-third of the body's platelets. C. Red blood cells are produced in the bone marrow, not the spleen. D. Neutrophils and eosinophils are produced in the red bone marrow, not in the spleen.

Nursing

You might also like to view...

All of the following statements about qualitative research are true EXCEPT

a. it is also referred to as deductive reasoning b. it is concerned with human interactions with the world c. it is usually conducted where the individual lives d. it uses a more holistic approach to data collection

Nursing

A student nurse caring for a patient with depression reads in the patient's medical record, "This patient shows vegetative signs of depression." Which nursing diagnoses most clearly relate to the vegetative signs? Select all that apply

a. Imbalanced nutrition: less than body requirements b. Chronic low self-esteem c. Sexual dysfunction d. Self-care deficit e. Powerlessness f. Insomnia

Nursing

A 10-month-old child with recurrent otitis media is brought to the clinic for evaluation. To help determine the cause of the child's condition, the nurse should ask the parents:

a) "Does water ever get into the baby's ears during shampooing?" b) "Do you give the baby a bottle to take to bed?" c) "Have you noticed a lot of wax in the baby's ears?" d) "Can the baby combine two words when speaking?"

Nursing

A nurse is caring for an immobile patient. The most appropriate nursing intervention to implement is:

A. turning the patient every 4 hours. B. applying an abdominal binder while the patient is lying in bed. C. encouraging the use of incentive spirometry hourly. D. maintaining the patient's maximum fluid intake of 1000 mL daily.

Nursing