A client has been involved in an automobile accident and is assessed to have an enlarged spleen. What does the nurse understand is the significance of attempting to prevent unnecessary removal of the spleen for this client?
A) The spleen is a large lymph node and takes waste debris away.
B) The spleen is a lymphatic structure and assists with phagocytosis.
C) The spleen is lymphoid tissue in the upper chest that contains stem cells.
D) The spleen assists with blood clotting.
B
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The spleen is the largest lymphatic structure, is a reservoir of blood, and contains phagocytes that engulf damaged erythrocytes and foreign substances. Lymph fluid takes waste debris away. The thymus is lymphoid tissue that is in the upper chest and contains stem cells. The spleen does not assist with blood clotting.
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The patient has a peripheral capillary refill time of less than 2 seconds. What relationship between blood volume and peripheral resistance would the nurse expect to find?
A) Elevated preload and blood pressure measurements B) Normal preload and blood pressure measurements C) Diminished preload and blood pressure measurements D) No relationship between preload and blood pressure
The nurse is evaluating the components of the computer system used in the healthcare organization. Which should the nurse realize about the functions of the clinical information system and administrative information system?
Select all that apply. A) They serve as tools to manage finances. B) They are used to store demographics. C) The systems are separate. D) The systems support each other. E) They are two independent systems.
The large, heavy, and older adult patient, post stroke, develops an infected decubitus on the sacrum during the hospital stay. When the patient goes home, about 2 weeks later, the pa-tient returns to the hospital with pneumonia
The distinction between these two infections is which of the following? 1. The decubitus infection was transmitted from other patients on the unit, but the pneumonia was transmitted from a neighbor visiting when the patient was at home. 2. The decubitus and pneumonia are caused by the same host. 3. The decubitus is termed nosocomial and the pneumonia is termed communi-ty-acquired. 4. The decubitus is considered to be caused by protozoa, whereas the pneumonia is termed unpreventable because of the size of the patient.
For the client taking a cardiac glycoside, the nurse should monitor for:
a. bradycardia. c. elevated blood pressure. b. tachycardia. d. impaired liver function.