Nokea
Because older adults suffer from conditions such as colonic diverticula, hiatal hernia, and ulcerations that can cause occult bleeding, the nurse should assess for symptoms of which blood disorder?
- A. leukemia.
- B. iron-deficiency anemia.
- C. sickle cell anemia.
- D. polycythemia.
Correct Answer: B
Rationale: Blood loss is a major cause of iron-deficiency in adults. The major sources of chronic blood loss are from the GI and genitourinary systems.
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The person with aplastic anemia is said to have because all three major blood elements (RBCs, WBCs, and platelets) are diminished or absent.
Correct Answer: pancytopenia
Rationale: Persons with aplastic anemia are deficient in all three of the major blood elements, a condition known as pancytopenia.
The hematopoietic stem cell transplant (Bone marrow transplant) is used for a patient with which disease?
- A. Iron deficiency anemia
- B. Aplastic anemia
- C. Leukemia
- D. Pernicious anemia
- E. Myelodysplastic syndrome
Correct Answer: B,C,E
Rationale: Bone marrow transplant may be used for aplastic anemia, leukemia and myelodysplastic syndrome. It is not used for iron deficiency anemia or pernicious anemia.
Which does the elevation in the eosinophil count to 10% indicate?
- A. Anemia
- B. Allergy
- C. Infection
- D. Hypoxia
Correct Answer: B
Rationale: Normal values of eosinophils are 1% to 4%. An elevation to 10% would indicate the presence of an allergic reaction.
The nurse is aware that a person with Hodgkin disease, who has two or more abnormal lymph nodes on the same side of the diaphragm and cancer extending locally from one lymph node area into a nearby organ, would be in which stage?
- A. stage I.
- B. stage II.
- C. stage III.
- D. stage IV.
Correct Answer: B
Rationale: Stage II indicates that there are two or more abnormal lymph nodes on the same side of the diaphragm and cancer that extends from a lymph node area into a nearby organ.
Which event causes the kidney to produce erythropoietin?
- A. Decreased erythrocytes
- B. Decreased oxygen levels
- C. Extensive systemic infection
- D. Excessive circulating clotting factor
Correct Answer: B
Rationale: When oxygen levels are low, the kidney produces a hormone known as erythropoietin.