Nokea
The typical medical treatment of polycythemia vera involves repeated phlebotomies for which intended benefit?
- A. stimulate bone marrow.
- B. Reduce blood viscosity
- C. increase hemoglobin.
- D. reduce symptoms of gout.
Correct Answer: B
Rationale: Repeated phlebotomy decreases blood viscosity and prevent blood clots.
You may also like to solve these questions
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.
The nurse expects the plan of care for a patient with leukemia to focus on which aspect of care?
- A. Prevention of abnormal clotting
- B. Promotion of mobility activities
- C. Frequent transfusions of plasma
- D. Prevention of infectious diseases
Correct Answer: D
Rationale: The white blood cells are abnormal and not functioning well with leukemia, therefore, prevention of infection is a priority of care. A lack of platelets is seen with leukemia, causing excessive bleeding, not abnormal clotting. Promoting mobility is not a priority of care with leukemia. Plasma transfusions are not associated with care of a patient with leukemia.
Which would the nurse explain as a type of leukemia that affects noticeably more children and teens than adults?
- A. Chronic lymphocytic leukemia (CLL)
- B. Acute myeloid leukemia (AML)
- C. Acute lymphocytic leukemia (ALL)
- D. Chronic myeloid leukemia (CML)
Correct Answer: C
Rationale: The majority of cases of ALL are children under the age of 5 years.
Which is a necessary factor that supports healthy erythropoiesis?
- A. Dietary magnesium
- B. Healthy bone marrow and kidney function
- C. Adequate oxygen source
- D. Vitamin B12
- E. Amino acids
- F. Vitamin B6
Correct Answer: B,D,E,F
Rationale: Erythropoiesis, red blood cell production, is dependent on the availability of healthy bone marrow and kidney function, dietary supply of copper and iron, amino acids, vitamins B12, folic acid, and pyridoxine (B6).
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.