Nokea
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).
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The nurse examines the complete blood count (CBC) to assess which level?
- A. hematocrit.
- B. red cell count.
- C. differential white blood cell count.
- D. plasma level.
- E. blood type.
- F. hemoglobin.
Correct Answer: A,B,C,F
Rationale: The CBC gives information relative to RBC, WBC, hematocrit, hemoglobin, erythrocyte indexes, WBC differential, and examination of the peripheral blood cells.
The nurse caring for a patient in the emergency room with suspected internal injuries will assess for hypovolemic shock, which is evidenced by which symptom?
- A. irritability.
- B. restlessness.
- C. slow bounding pulse.
- D. decreased respirations.
- E. pallor.
- F. hypotension.
Correct Answer: A,B,E,F
Rationale: Indicators of hypovolemia are restlessness, irritability, rapid thready pulse, increasing respirations, pale, cool moist skin, and hypotension. Should the blood loss continue, the patient could go into hypovolemic shock.
Which of the following are 'B' symptoms of a patient with Hodgkin disease?
- A. Hematuria
- B. Night sweats
- C. Severe diarrhea
- D. Weight gain from edema
- E. Fever
- F. Persistent dry cough
Correct Answer: B,E
Rationale: The 'B' symptoms of Hodgkin disease are night sweats, fever, and weight loss. These symptoms are associated with a poor prognosis.
The nurse explains that the treatment of hemophilia has been revolutionized with the advent of the use of which medical intervention?
- A. corticosteroids.
- B. large doses of testosterone.
- C. Prophylactic use of factors VIII and IX.
- D. transfusion with packed red cells.
Correct Answer: C
Rationale: Recombinant factor VIII and recombinant factor IX have been major forward steps in the treatment of hemophilia.
Which patient statement from a 15-year-old girl with thrombocytopenia would require more assessment to report to the charge nurse?
- A. I think these red spots on my skin are going away.'
- B. I am so bored lying in bed I could scream.'
- C. I can't tell if the corticosteroids are helping.'
- D. I started my menstrual period this morning.'
Correct Answer: D
Rationale: Menstrual losses may be severe with a low platelet count. The nurse should assess the amount of bleeding to report to the charge nurse.