A patient with alcoholic liver disease has severe anemia. Which of the following explains the development of anemia in this particular patient?

Alcohol suppresses erythropoiesis.

Alcoholics are often deficient in folate.

Liver dysfunction leads to decreased clotting factors.

Gastric ulcers may lead to chronic blood loss.

Alcohol causes inflammation, which leads to anemia.

Answer and Explanation

The Correct Answer is A

A.   Alcohol can directly suppress the production of red blood cells (erythropoiesis) in the bone marrow, leading to anemia.
B.   While alcoholics may indeed be deficient in folate due to poor nutrition, folate deficiency is not the primary mechanism for anemia in alcoholic liver disease.
C.   Liver dysfunction can lead to decreased production of clotting factors, contributing to coagulopathy, but it is not the primary mechanism for anemia in alcoholic liver disease.
D.   Gastric ulcers may indeed lead to chronic blood loss, contributing to anemia, but it is not specific to alcoholic liver disease.
E.   While alcohol-induced inflammation may contribute to various complications, including liver damage, it is not the primary mechanism for anemia in alcoholic liver disease.

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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.

A. Raloxifene hydrochloride B. Levothyroxine C. Escitalopram oxalate D. Calcitonin

Correct Answer is A

Explanation

A. Raloxifene hydrochloride is a selective estrogen receptor modulator (SERM) that is used for the prevention and treatment of osteoporosis in postmenopausal women. It helps to prevent bone loss and reduce the risk of fractures by acting similarly to estrogen in some tissues and antagonizing estrogen in others.
B. Levothyroxine is a thyroid hormone replacement medication used to treat hypothyroidism, not osteoporosis.
C. Escitalopram oxalate is an antidepressant medication used to treat depression and anxiety disorders, not osteoporosis.
D. Calcitonin is a hormone involved in calcium regulation, and calcitonin nasal spray is sometimes used in the treatment of osteoporosis, but it is not typically the first-line treatment option.

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A patient with alcoholic liver disease has severe anemia. Which of the following explains the development of anemia in this particular patient?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new diagnosis of testicular cancer.Which of the following statements should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

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Correct Answer is A

Explanation

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