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A client has been diagnosed with secondary polycythemia.
What should the nurse prioritize in the care plan for this client?

Administer ruxolitinib to reduce spleen size.

Monitor electrolyte levels and renal function.

Administer radioactive phosphorus.

Perform phlebotomy to reduce hematocrit.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Administer ruxolitinib to reduce spleen size.

Rationale: This option is not a priority in the care plan for a client with secondary polycythemia.

Secondary polycythemia is typically associated with an underlying condition, such as chronic hypoxia.

The primary focus should be on addressing the underlying cause and managing polycythemia-related complications.

Choice B rationale:

Monitor electrolyte levels and renal function.

Rationale: This is the correct priority in the care plan for a client with secondary polycythemia.

Secondary polycythemia can result from conditions like chronic obstructive pulmonary disease (COPD) or renal disease, which may affect electrolyte balance and renal function.

Monitoring these parameters is essential to assess the patient's overall health and manage the underlying condition.

Choice C rationale:

Administer radioactive phosphorus.

Rationale: Administering radioactive phosphorus is not a standard treatment for secondary polycythemia.

Treatment for secondary polycythemia focuses on managing the underlying condition and its complications.

Choice D rationale:

Perform phlebotomy to reduce hematocrit.

Rationale: Phlebotomy may be considered in some cases of secondary polycythemia, but it is not the primary priority.

The primary focus should be on addressing the underlying cause, such as treating COPD or renal disease, to manage polycythemia effectively.

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Correct Answer is D

Explanation

Choice A rationale:

While primary polycythemia can cause an increase in red blood cell mass, it does not typically lead to decreased platelet production.

Platelet production is not directly affected by primary polycythemia.

Choice B rationale:

Primary polycythemia does increase red blood cell mass, but it also increases the risk of thrombosis (clot formation) due to the increased viscosity of the blood.

This statement is inaccurate.

Choice C rationale:

Primary polycythemia can affect white blood cell production, leading to an increase in white blood cells (leukocytosis)

This statement is inaccurate as well.

Choice D rationale:

The increased red blood cell mass in primary polycythemia does lead to increased blood viscosity.

The thicker blood can impede blood flow, leading to organ damage and ischemia (lack of blood supply to tissues)

This is an accurate statement regarding the risks associated with primary polycythemia.

A. "Polycythemia results from a decrease in erythropoietin (EPO) production.” B. "In primary polycythemia, red blood cell production is stimulated by EPO.” C. "Secondary polycythemia is caused by a mutation in the JAK2 gene.” D. "EPO stimulates the bone marrow to produce fewer red blood cells.”

Correct Answer is B

Explanation

Choice A rationale:

This statement is incorrect.

Polycythemia vera is a primary disorder where red blood cell production is not regulated properly, leading to an excess of red blood cells.

In primary polycythemia, there is an increase in erythropoietin (EPO) production, not a decrease.

Choice B rationale:

This is the correct answer.

In primary polycythemia (polycythemia vera), the overproduction of red blood cells is stimulated by increased levels of erythropoietin (EPO)

Choice C rationale:

Secondary polycythemia can be caused by a mutation in the JAK2 gene, but this is not the pathophysiology of primary polycythemia (polycythemia vera)

Choice D rationale:

Erythropoietin (EPO) actually stimulates the bone marrow to produce more red blood cells, not fewer.

Therefore, this statement is incorrect.

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A client has been diagnosed with secondary polycythemia. What should the nurse prioritize in the care plan for this client?

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Naxlex Comprehensive Predictor Exams

A nurse is educating a patient with primary polycythemia on potential complications. Which statement by the nurse is accurate regarding the risks associated with this condition?

Correct Answer is D

Explanation

A client with polycythemia is receiving treatment.Which statement by the nurse is accurate regarding the pathophysiology of this condition?

Correct Answer is B

Explanation

A nurse is caring for a patient with polycythemia vera.Which statement by the patient indicates an understanding of the condition?

A client diagnosed with polycythemia is receiving education on self-care.Which statement by the client indicates a need for further education?

(Select all that apply):A nurse is assessing a patient with polycythemia.Which clinical manifestations are commonly associated with this condition? Select all that apply.

A nurse is caring for a patient with primary polycythemia.What is the primary goal of treatment for this patient?

A nurse is reviewing the diagnostic evaluation of a client suspected to have polycythemia.What laboratory findings would the nurse expect to find in a client with primary polycythemia?

A nurse is assessing a patient with suspected polycythemia.Which of the following signs and symptoms should the nurse specifically assess for during the physical examination?

A client with polycythemia is undergoing additional tests to rule out secondary causes. Which diagnostic test is commonly used to rule out secondary polycythemia?

A client is diagnosed with secondary polycythemia.Which underlying medical conditions could be contributing to this diagnosis? Select the most likely cause.

A client has been diagnosed with secondary polycythemia.
What should the nurse prioritize in the care plan for this client?