After initial compensation, what hemodynamic change should the nurse monitor for in a patient with a reduction in the number of circulating erythrocytes?
increased viscosity of blood
decreased cardiac output
altered coagulation
hyperdynamic circulation
The Correct Answer is D
A. Increased viscosity of blood: A reduction in erythrocytes decreases the overall hematocrit, which lowers blood viscosity rather than increasing it. Increased viscosity is more commonly associated with polycythemia or dehydration, not anemia.
B. Decreased cardiac output: Initially, the body compensates for anemia by increasing heart rate and stroke volume to maintain oxygen delivery, so cardiac output may initially remain normal or even increase. A decrease would occur only if compensation fails or the anemia is severe.
C. Altered coagulation: A reduction in erythrocytes primarily affects oxygen-carrying capacity rather than the coagulation system. Coagulation abnormalities are not a direct consequence of anemia unless there is an underlying hematologic disorder.
D. Hyperdynamic circulation: Following a reduction in erythrocytes, the cardiovascular system compensates by increasing heart rate and cardiac output, resulting in hyperdynamic circulation. This helps maintain tissue oxygenation despite decreased oxygen-carrying capacity of the blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Crepitus: Crepitus refers to a grating or crackling sensation felt or heard with joint movement, often associated with fractures or degenerative joint disease. It can occur with cartilage damage but does not specifically indicate that a joint is dislocated. Crepitus alone is not a definitive sign of joint displacement.
B. Deformity of a joint: A visible or palpable deformity is a hallmark sign of joint dislocation due to displacement of the articulating bone surfaces. The joint often appears misaligned or abnormal in contour. This finding directly reflects loss of normal joint alignment.
C. Pain and tenderness: Pain and tenderness are common findings in many musculoskeletal injuries, including sprains, fractures, and soft tissue injuries. These symptoms are nonspecific and do not distinguish dislocation from other joint injuries. Additional assessment findings are needed to confirm dislocation.
D. Increased range of motion in a joint: Dislocation typically results in decreased or absent range of motion due to pain, muscle spasm, and mechanical blockage. Increased range of motion is more characteristic of ligamentous laxity or instability. It does not indicate a joint dislocation.
Correct Answer is E
Explanation
A. Amphiarthrosis: Amphiarthroses are joints that allow limited movement, such as the intervertebral discs and the pubic symphysis. They provide stability while permitting slight mobility but are not freely movable.
B. Synarthrosis: Synarthroses are immovable joints, including sutures of the skull. They are designed to provide structural stability rather than allow motion.
C. Symphysis: A symphysis is a type of amphiarthrosis in which bones are connected by fibrocartilage, allowing limited movement. Examples include the pubic symphysis and intervertebral discs.
D. Anarthrosis: Anarthrosis is a term sometimes used to describe a joint with no movement, essentially immobile. It is not applicable to freely mobile joints.
E. Diarthrosis: Diarthroses are freely movable synovial joints, such as the shoulder, hip, and knee. They allow a wide range of motion in one or more planes and are the most common type of joint in the appendicular skeleton.
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