Nokea
The nurse clarifies that ferrous replaces iron stores to treat iron deficiency anemia.
Correct Answer: sulfate
Rationale: Ferrous sulfate replaces iron stores needed to treat iron deficiency anemia.
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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.
The nurse assessing a differential sees an increase in immature neutrophils (bands) and is aware that this indicates which concern?
- A. a significant hemorrhage.
- B. aplastic anemia.
- C. an infection or stress.
- D. beginning recovery from an infection.
Correct Answer: C
Rationale: An increase in immature neutrophils (bands) is sometimes referred to as 'a shift to the left', and it indicates an infection or stress.
The 9-year-old child with leukemia who is on palliative care has drawn a picture of a boy under a huge black cloud that has lightning coming out of it. Which would be an appropriate intervention for the nurse?
- A. What is this picture about?'
- B. Are you afraid of lightning?'
- C. I bet this is a picture of you, isn't it?'
- D. Is it about to rain in your picture?'
Correct Answer: A
Rationale: Asking what the child has drawn is a neutral and nonthreatening question. Drawings can give a clue to perceptions and emotions that a young child may not be able to verbalize. The nurse should not try to interpret the drawing.
Erythropoiesis is the term referring to which process?
- A. Destruction of older red blood cells
- B. Lack of folic acid to create new red blood cells
- C. Releasing white blood cells in response to infection
- D. Production of new red blood cells in the bone marrow
Correct Answer: D
Rationale: Erythropoiesis is the term used to describe the production of new red blood cells in the bone marrow.
Neutrophils release an enzyme that destroys certain bacteria.
Correct Answer: lysozyme
Rationale: Lysozyme is an enzyme released by the neutrophils that kills certain bacteria when the bacteria is recognized in the body.