In a severely anemic patient, which assessment findings would the nurse expect to find?
Cyanosis and hypertension.
Dysrhythmias and expiratory wheezing.
Pulmonary edema and fibrosis.
Dyspnea and increased heart rate.
The Correct Answer is D
Choice A reason: Cyanosis and hypertension are not typically associated with severe anemia. While anemia can lead to tissue hypoxia, cyanosis is more related to respiratory or cardiovascular problems, and hypertension is not a common consequence of anemia.
Choice B reason: Dysrhythmias and expiratory wheezing are not directly related to severe anemia. Dysrhythmias can occur in severe cases due to the heart's increased workload, but expiratory wheezing is generally associated with respiratory conditions like asthma or chronic obstructive pulmonary disease (COPD).
Choice C reason: Pulmonary edema and fibrosis are not linked to severe anemia. These conditions are related to heart failure, lung injury, or chronic lung diseases, rather than anemia.
Choice D reason: Dyspnea and increased heart rate are expected findings in a severely anemic patient. Dyspnea, or difficulty breathing, occurs because the body is not getting enough oxygen due to the reduced number of red blood cells. The heart rate increases as a compensatory mechanism to deliver more oxygenated blood to the tissues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A reason: Hypotension is not typically associated with hyperthyroidism. In fact, hyperthyroidism usually leads to an increase in metabolic rate, which can cause an increase in blood pressure rather than a decrease. Therefore, hypotension is not a consistent finding in patients with hyperthyroidism.
Choice B reason: Diaphoresis, or excessive sweating, is a common symptom of hyperthyroidism. The increased metabolic rate associated with hyperthyroidism causes the body to generate more heat, leading to excessive sweating as the body attempts to cool down. This symptom is frequently observed in patients with this condition.
Choice C reason: Heat intolerance is a hallmark symptom of hyperthyroidism. Due to the increased metabolic activity, patients with hyperthyroidism often feel excessively warm and have difficulty tolerating heat. They may seek cooler environments and prefer lighter clothing, even in colder weather, to manage their discomfort.
Choice D reason: Tachycardia, or an abnormally rapid heart rate, is a common finding in hyperthyroidism. The excess thyroid hormones stimulate the heart, leading to an increased heart rate and palpitations. This symptom is a significant indicator of hyperthyroidism and is often one of the first signs noticed by patients and healthcare providers.
Choice E reason: Insomnia is frequently seen in patients with hyperthyroidism. The increased metabolic rate and heightened nervous system activity can lead to difficulty sleeping and restlessness. Patients may report trouble falling asleep, staying asleep, or feeling rested after sleep, contributing to overall fatigue and irritability.
Correct Answer is ["A","B"]
Explanation
Choice A reason: Bleeding is a high-risk complication for patients with pancytopenia because of the low platelet count. Platelets are crucial for blood clotting, and their deficiency leads to an increased risk of spontaneous bleeding and difficulty in stopping bleeding once it starts. This can result in significant blood loss and complications if not managed promptly.
Choice B reason: Infection is another high-risk complication for patients with pancytopenia due to the low white blood cell count. White blood cells are essential for fighting infections, and their deficiency makes patients more susceptible to bacterial, viral, and fungal infections. These infections can be severe and difficult to control, leading to further complications and increased morbidity.
Choice C reason: Seizures are not typically associated with pancytopenia. Seizures are more commonly linked to neurological conditions, electrolyte imbalances, or other underlying medical issues rather than low blood cell counts.
Choice D reason: Neurogenic shock is not a common complication of pancytopenia. Neurogenic shock occurs due to a disruption in the autonomic nervous system, often resulting from spinal cord injuries or severe central nervous system damage, rather than low blood cell counts.
Choice E reason: Pulmonary edema is not directly related to pancytopenia. Pulmonary edema involves fluid accumulation in the lungs, often due to heart failure, kidney disease, or other causes, rather than low blood cell counts.
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