lOMoARcPSD|28709798Brunner & Suddarths Textbook of Medical Surgical Nursing 14e Chapter 32: Assessment of Hematologic Function and Treatment Modalities 1.A patient with a hematologic disorder asks the nurse how the body forms blood cells. The nurse should describe a process that takes place where? A)In the spleen B)In the kidneys C)In the bone marrow D)In the liver Ans: C Feedback: Bone marrow is the primary site for hematopoiesis. The liver and spleen may be involved during embryonic development or when marrow is destroyed. The kidneys release erythropoietin, which stimulates the marrow to increase production of red blood cells (RBCs). However, blood cells are not primarily formed in the spleen, kidneys, or liver. 2.A man suffers a leg wound which causes minor blood loss. As a result of bleeding, the process of primary hemostasis is activated. What occurs in primary hemostasis? A)Severed blood vessels constrict. B)Thromboplastin is released. C)Prothrombin is converted to thrombin. D)Fibrin is lysed. Ans: A Feedback: Primary hemostasis involves the severed vessel constricting and platelets collecting at the injury site. Secondary hemostasis occurs when thromboplastin is released, prothrombin converts to thrombin, and fibrin is lysed. 3.A patient has come to the OB/GYN clinic due to recent heavy menstrual flow.