Fill-in-the-Blank/Short Answer Questions
1) The formed element ________ can kill parasitic worms
2) A ________ is a committed granular leukocyte stem cell which produces neutrophils.
4) The potent platelet aggregate that attracts more platelets to the site of an injury is ________.
5) ________ is an antiprostaglandin drug that inhibits thromboxane A2 formation (platelet plug
7) When monocytes migrate into the interstitial spaces, they are called ________.
8) Destruction of the hematopoietic components of red marrow leads to a condition called
9) ________ is the stage of development in the life of an erythrocyte during which the nucleus is
11) List the general factors that limit normal clot growth.
12) When are whole blood transfusions routinely given?
13) List the most common causes of bleeding disorders.
14) List one example for each of these three functions of blood: distribution, regulation, and
15) List the granulocytes and describe their granules.
16) Why is iron not stored or transported in its free form? In what form(s) is it stored or
transported in blood?
17) Explain why blood is classified as a connective tissue.
18) What determines whether blood is bright red or a dull, dark red?
19) Why is hemoglobin enclosed in erythrocytes rather than existing free in plasma?
20) What is the buffy coat found in centrifuged whole blood?
21) Where and how is iron stored in the body?
22) Name the granulocytes and state their percentage in whole blood.
1) Why would there be cause for concern if a young pregnant mother is Rh-, her husband is Rh+,
and this is their second child?
Answer: If the mother was given RhoGAM before or shortly after the birth of the first child, there
is little concern, because the RhoGAM prevented the mother from sensitizing herself
against her child. If she did not take RhoGAM, there is a chance the second child will
develop erythroblastosis fetalis and die before birth.
2) A total WBC count and a differential WBC count have been ordered for Mrs. Johnson. What
information is obtained from the differential count that the total count does not provide?
3) List three blood tests that might be ordered if anemia is suspected.
4) A person complains of no energy, a chronic sore throat, a low-grade fever, and is tired and
achy. His doctor notes an enlarged spleen upon examination. What diagnosis would you
expect and what definitive test would you request?
5) A man of Mediterranean ancestry goes to his doctor with the following symptoms. He is very
tired all of the time. He has difficulty catching his breath after even mild exercise. His doctor
orders the following tests: CBC, hematocrit, differential WBC count. The tests show immature
erythrocytes, fragile erythrocytes, and less than 2 million RBCs per cubic millimeter. What
would be a tentative diagnosis and suggested treatment?
6) A 68-year-old male is admitted to the hospital for emphysema. He is hypoxic and his labs
reveal low oxygen levels. His hematocrit is 65%. The physician has told him that he has a
type of polycythemia in which he has an increased number of erythrocytes circulating in his
bloodstream. The client tells the nurse that he does not understand what that means. How
would the nurse explain this in terms the client would understand?
7) An elderly client tells the nurse that she has been very tired lately and has difficulty walking to
her mailbox, without getting very short of breath. The nurse notes the mucous membranes are
pale. She states since her husband died three months ago, she has not been eating well. The
physician confirms that she has iron-deficiency anemia. How are the clientʹs clinical
manifestations and iron deficiency anemia related?
8) A 17-year-old black male is admitted to the hospital in sickle-cell crisis. Pain management is
a top priority for clients in sickle-cell crisis. Explain why.
Answer: Sickle cell anemia results from a defective hemoglobin S-producing gene which causes
red blood cells to roughen and become sickle-shaped. Such sickling can produce
hemolysis. The altered cells tend to pile up in capillaries and smaller blood vessels,
making the blood more viscous. Normal circulation is impaired, causing severe pain
9) A 52-year-old woman was diagnosed with leukemia and has been receiving chemotherapy as
an outpatient. She tells the RN that she hasnʹt been feeling well. The patientʹs skin is warm to
touch and she has a low-grade fever of 100.2 F. The neutrophil blood count is less than
1000/ul. The nurse is concerned about the possibility of infection because of the neutropenia
and low-grade fever. Explain why.