A client diagnosed with polycythemia is receiving education on self-care.
Which statement by the client indicates a need for further education?
"I should drink at least 3 liters of fluids each day.”
"I should avoid hot baths and showers.”
"I can continue to smoke, but I'll cut down.”
"I need to monitor my vital signs regularly.”
The Correct Answer is C
Choice A rationale:
Drinking an adequate amount of fluids is essential for patients with polycythemia to prevent blood clots and maintain blood flow.
This statement indicates a good understanding of self-care.
Choice B rationale:
Avoiding hot baths and showers is essential because heat can cause vasodilation and further increase blood flow, potentially exacerbating symptoms of polycythemia.
This statement also shows appropriate self-care knowledge.
Choice C rationale:
Smoking is a significant risk factor for polycythemia and other cardiovascular conditions.
Continuing to smoke, even with the intention to cut down, is not advisable and indicates a need for further education.
Smoking cessation is essential for managing polycythemia effectively.
Choice D rationale:
Monitoring vital signs regularly is crucial for patients with polycythemia to detect any changes in blood pressure, heart rate, or oxygen saturation.
This statement demonstrates an understanding of the importance of self-monitoring and is not a cause for further education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
Headache.
Rationale: Headaches are a common symptom of polycythemia due to the increased blood volume and viscosity, which can lead to impaired blood flow and oxygen delivery to the brain.
Choice B rationale:
Fatigue.
Rationale: Fatigue is also a common symptom of polycythemia due to the increased workload on the heart and decreased oxygen-carrying capacity of the blood.
Choice C rationale:
Epistaxis.
Rationale: Epistaxis, or nosebleeds, can occur in individuals with polycythemia because of the increased pressure on blood vessels and the fragility of the nasal mucosa caused by elevated red blood cell counts.
Choice D rationale:
Increased blood pressure.
Rationale: Elevated blood pressure can result from polycythemia due to the increased volume of blood in circulation, which can strain the cardiovascular system.
Choice E rationale:
Gout.
Rationale: Gout is a potential complication of polycythemia because the increased production of red blood cells can lead to elevated levels of uric acid, a risk factor for gout.
Correct Answer is C
Explanation
Choice A rationale:
Dehydration does not cause polycythemia vera.
Polycythemia vera is a disorder of the bone marrow characterized by an overproduction of red blood cells.
Choice B rationale:
Chronic pulmonary disease is not a cause of polycythemia vera.
Polycythemia vera is typically due to a mutation in the JAK2 gene.
Choice C rationale:
This is the correct answer.
Polycythemia vera is often caused by a mutation in the JAK2 gene, which leads to an abnormal increase in red blood cell production.
Choice D rationale:
Smoking can lead to secondary polycythemia, but it is not the cause of polycythemia vera, which is a primary disorder of the bone marrow.
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