A patient is admitted to determine why red blood cells are being quickly destructed in the body. What finding should the nurse associate with this patient's health problem?
clotting
Cyanosis
Jaundice
Bleeding
The Correct Answer is C
A. Clotting is not directly related to the destruction of red blood cells.
B. Cyanosis refers to a bluish discoloration of the skin due to poor circulation or inadequate oxygenation, which is not directly indicative of red blood cell destruction.
C. Jaundice is the yellowing of the skin and eyes caused by the buildup of bilirubin, a byproduct of the destruction of red blood cells, which is a common symptom of hemolytic anemia.
D. Bleeding is not a symptom associated with the destruction of red blood cells but rather a lack of clotting factors or platelets.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Scrotal warmth and redness are not typically early signs of testicular cancer. Common signs include painless testicular swelling or a lump.
B. Close male relatives of individuals with testicular cancer have a higher risk of developing the disease themselves, suggesting a genetic component.
C. Testicular cancer typically occurs in younger men, with the highest incidence between ages 15 to 40.
D. Testicular cancer usually affects only one testicle, though it can occur in both.
E. Impotence is not a common complication of orchiectomy, the surgical removal of one or both testicles. However, other complications such as infertility may occur.
Correct Answer is A
Explanation
A. Given the low hemoglobin level and weight, the patient is likely experiencing fatigue due to decreased oxygen-carrying capacity of the blood, leading to activity intolerance.
B. While weight loss may contribute to body image disturbance, it is not the primary concern for a patient with iron-deficiency anemia and low hemoglobin levels.
C. Anxiety related to the hospital environment may be present, but it is not the most appropriate nursing diagnosis based on the patient's clinical presentation and laboratory findings.
D. Impaired tissue integrity related to immobility is not the most appropriate nursing diagnosis for a patient with iron-deficiency anemia. This diagnosis is more commonly associated with pressure ulcers or skin breakdown in patients who are immobile for extended periods, which is not described in this scenario.
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