A patient with thalassemia major who is receiving a blood transfusion shows signs of hemochromatosis.
The nurse anticipates a prescription for which medication?

Methotrexate.

Deferoxamine.

Ferrous gluconate.

Iron dextran complex.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Methotrexate is a medication used for cancer and autoimmune diseases. It does not chelate iron and is not used to treat iron overload conditions like hemochromatosis.

Choice B rationale:

Deferoxamine is an iron chelating agent used to treat iron overload conditions like hemochromatosis. It binds to excess iron and promotes its excretion from the body, preventing complications such as organ damage.

Choice C rationale:

Ferrous gluconate is an iron supplement used to treat iron deficiency anemia. It would not be appropriate for a patient with hemochromatosis, a condition characterized by iron overload.

Choice D rationale:

Iron dextran complex is another form of intravenous iron used to treat iron deficiency anemia. It is not indicated for treating iron overload conditions like hemochromatosis.

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

Explanation

Choice B rationale:

Conjunctival pallor is a common physical finding in patients with low hemoglobin levels (anemia), leading to paleness in mucous membranes such as the conjunctiva.

Choice C rationale:

Sternal tenderness is not a typical finding associated with low hemoglobin levels and is not directly related to anemia.

Choice D rationale:

A heart rate of 104 beats/min can be a compensatory response to anemia, as explained in .

A. "There is no identified cause!” B. "A decrease in plasma renin levels.” C. "Too much plaque in the blood vessels.” D. "Kidney disease is the most common cause.”

Correct Answer is A

Explanation

Choice B rationale:

A decrease in plasma renin levels is not a known cause of primary hypertension. Primary hypertension often has no identifiable cause, and it is a diagnosis of exclusion.

Choice C rationale:

Too much plaque in the blood vessels describes atherosclerosis, which is a risk factor for hypertension but not the direct cause of primary hypertension. Plaque buildup narrows arteries and increases resistance, contributing to elevated blood pressure.

Choice D rationale:

Kidney disease can cause secondary hypertension but is not the most common cause of primary hypertension. Primary hypertension, also known as essential hypertension, is the most common form, and its exact cause remains unknown in many cases.

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A patient with thalassemia major who is receiving a blood transfusion shows signs of hemochromatosis.The nurse anticipates a prescription for which medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which finding would the nurse expect to see in a patient with a hemoglobin level of 8 g/dL? Select all that apply.One, some, or all responses may be correct.

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

Explanation

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Correct Answer is A

Explanation

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A patient with thalassemia major who is receiving a blood transfusion shows signs of hemochromatosis.
The nurse anticipates a prescription for which medication?