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?
The spleen is lymphoid tissue in the upper chest that contains stem cells.
The spleen assists with blood clotting.
The spleen is a large lymph node and takes waste debris away.
The spleen is a lymphatic structure and assists with phagocytosis
The Correct Answer is D
A. The spleen is lymphoid tissue in the upper chest that contains stem cells: The spleen is located in the left upper abdomen, not the chest, and it does not house hematopoietic stem cells. While it is lymphoid tissue, it does not primarily contain stem cells; stem cells are mainly found in the bone marrow.
B. The spleen assists with blood clotting: While the spleen stores platelets, its primary function is not clotting. It plays a secondary role in hemostasis but is more essential for filtering blood and immune responses.
C. The spleen is a large lymph node and takes waste debris away: The spleen is not a lymph node, although both are part of the lymphatic system. Lymph nodes filter lymph fluid, while the spleen filters blood. While the spleen does remove waste debris (through phagocytosis), it's not accurate to describe it as a large lymph node.
D. The spleen is a lymphatic structure and assists with phagocytosis: The spleen plays a critical role in immune defense by filtering blood, removing pathogens, and facilitating phagocytosis of old or damaged cells. Preserving it reduces the risk of overwhelming infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
No explanation
Correct Answer is D
Explanation
A. Physical activity: Exercise may help reduce stress and improve overall well-being, but it does not directly target the positive symptoms of schizophrenia such as hallucinations or delusions.
B. Drawing: Art therapy can support emotional expression and reduce anxiety, but it is more beneficial for promoting general mental health and coping, not specifically controlling positive symptoms.
C. Therapeutic communication: Communication techniques are crucial for building trust and ensuring safety, but they are not sufficient on their own to manage hallucinations, delusions, or disorganized thinking.
D. Medication administration: Antipsychotic medications are the primary treatment for managing positive symptoms of schizophrenia. They help reduce hallucinations, delusions, and thought disturbances by modulating neurotransmitter activity in the brain.
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