A nurse is caring for a patient with hemolytic anemia.
The patient asks, "Why do I have this condition?" Which response by the nurse is accurate?
"This condition is typically caused by infections.”
"Hemolytic anemia is usually a result of genetic defects.”
"Exposure to toxins is the primary cause of hemolytic anemia.”
"Mechanical trauma is the primary reason for developing this condition.”
The Correct Answer is B
Choice A rationale:
Hemolytic anemia is not typically caused by infections.
Infections can cause other types of anemia, such as anemia of chronic disease, but not hemolytic anemia.
This choice is incorrect.
Choice B rationale:
This is the correct answer.
Hemolytic anemia is usually a result of genetic defects.
It can also be acquired through autoimmune conditions or exposure to certain drugs and toxins, but genetic defects are a common cause.
Genetic defects can lead to abnormal red blood cell shapes (e.g., sickle cell anemia) or defects in red blood cell membranes (e.g., hereditary spherocytosis), resulting in hemolysis.
Choice C rationale:
Exposure to toxins is not the primary cause of hemolytic anemia.
While some toxins can cause hemolysis, they are not the leading cause of this condition.
This choice is incorrect.
Choice D rationale:
Mechanical trauma is not the primary reason for developing hemolytic anemia.
While physical trauma can lead to the rupture of red blood cells (e.g., in cases of traumatic hemolysis), it is not the primary cause of hemolytic anemia.
This choice is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Hemolytic anemia is not typically caused by infections.
Infections can cause other types of anemia, such as anemia of chronic disease, but not hemolytic anemia.
This choice is incorrect.
Choice B rationale:
This is the correct answer.
Hemolytic anemia is usually a result of genetic defects.
It can also be acquired through autoimmune conditions or exposure to certain drugs and toxins, but genetic defects are a common cause.
Genetic defects can lead to abnormal red blood cell shapes (e.g., sickle cell anemia) or defects in red blood cell membranes (e.g., hereditary spherocytosis), resulting in hemolysis.
Choice C rationale:
Exposure to toxins is not the primary cause of hemolytic anemia.
While some toxins can cause hemolysis, they are not the leading cause of this condition.
This choice is incorrect.
Choice D rationale:
Mechanical trauma is not the primary reason for developing hemolytic anemia.
While physical trauma can lead to the rupture of red blood cells (e.g., in cases of traumatic hemolysis), it is not the primary cause of hemolytic anemia.
This choice is incorrect.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale:
Increased risk of thrombosis is a potential complication of hemolytic anemia.
When red blood cells are destroyed, they release substances that can promote blood clot formation, increasing the risk of thrombosis.
This choice is correct.
Choice B rationale:
Decreased iron utilization is not a typical complication of hemolytic anemia.
Hemolysis can release iron into the bloodstream, but it does not lead to decreased iron utilization.
This choice is incorrect.
Choice C rationale:
Impaired erythropoiesis can be a complication of hemolytic anemia.
When red blood cells are rapidly destroyed, the bone marrow may struggle to keep up with the demand for new red blood cell production, leading to impaired erythropoiesis.
This choice is correct.
Choice D rationale:
Elevated haptoglobin levels are not typically seen in hemolytic anemia.
Haptoglobin levels may decrease in response to increased hemolysis, as haptoglobin binds to free hemoglobin released from ruptured red blood cells.
This choice is incorrect.
Choice E rationale:
Higher susceptibility to infections is a potential complication of hemolytic anemia.
The destruction of red blood cells can weaken the immune system and make the individual more susceptible to infections.
This choice is correct.
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