NORCET 1 - 2020
Applied Physiology
Easy

What is the primary function of red blood cells?

Appeared in: NORCET 1 - 2020

Explanation

  • The principal function of red blood cells (erythrocytes) is the transport of oxygen from the lungs to the body's tissues.
  • This is possible because RBCs are filled with hemoglobin, an iron-containing protein that readily and reversibly binds to oxygen.
  • The biconcave disc shape of RBCs provides a large surface area, which facilitates the efficient exchange of oxygen and carbon dioxide.
  • In addition to oxygen transport, RBCs also assist in carrying carbon dioxide, a metabolic waste product, from the tissues back to the lungs for exhalation.

Why Other Options Were Wrong

  • Option A: Fighting infection is the primary responsibility of white blood cells (leukocytes), which are the main cells of the body's immune system.
  • Option B: The process of blood clotting (hemostasis) is initiated and managed by platelets (thrombocytes) along with various clotting factors in the plasma.
  • Option D: Antibodies (immunoglobulins) are produced by specialized white blood cells called B-lymphocytes (specifically, plasma cells).

Related Visual

Visual explanation — Related Visual
  • Visual 1: Infographic - A clear chart comparing the appearance and primary functions of red blood cells, white blood cells (neutrophils, lymphocytes, etc.), and platelets. This helps visually differentiate the roles of each component.
  • Visual 2: Diagram - An illustration of a red blood cell showing hemoglobin molecules inside, with some binding to oxygen molecules. This visual reinforces the mechanism of oxygen transport.
Clinical Relevance
  • Nursing practice connection: Knowing Functions of Blood Components helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
  • Understanding the function of RBCs is fundamental for interpreting a Complete Blood Count (CBC). A low RBC count or low hemoglobin level indicates anemia, which signifies a reduced oxygen-carrying capacity of the blood, leading to clinical signs like fatigue, pallor, and shortness of breath.
  • Nurses are responsible for monitoring patients for signs and symptoms of inadequate oxygenation (hypoxia), such as cyanosis, confusion, and tachycardia. Interventions may include administering supplemental oxygen or preparing for a blood transfusion as ordered.
  • What if? - If a patient has chronic kidney disease, their kidneys may not produce enough erythropoietin, the hormone that stimulates RBC production. This results in a specific type of anemia (anemia of chronic disease). The nursing focus would shift to administering erythropoiesis-stimulating agents (like epoetin alfa) as prescribed and monitoring the patient's response.
How to Approach the Question
  • First, identify the key subject of the question: 'red blood cells'.
  • This is a direct recall question. Access your foundational knowledge about the main components of blood.
  • Recall the single most important function associated with red blood cells. The red color itself is a clue, linked to iron-rich hemoglobin.
  • Evaluate each option. 'Transport oxygen' is the well-known primary role of hemoglobin within RBCs.
  • Systematically eliminate the other options by correctly associating their functions with other blood components: 'Fight infection' -> White Blood Cells; 'Clot blood' -> Platelets; 'Produce antibodies' -> B-lymphocytes (a type of WBC).
Concept Tested & Keywords
  • Concept Tested: Functions of Blood Components
  • Stem keywords: primary function, red blood cells
  • Lead-in keywords: What is

Question ID

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Practise the full NORCET 1 - 2020

Attempt every question from this paper in a timed mock, then review the full solution for each one.