Patient Data
Drag from Word Choices to complete the sentence.
According to the laboratory values, the client has
The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"A","dropdown-group-3":"E"}
Rationale for correct choices:
• Anemia: The client’s hemoglobin (9.3 g/dL) and hematocrit (30%) are both below normal, which indicates a reduced oxygen-carrying capacity of the blood, consistent with anemia.
• Blood loss: The abdominal hematoma, distension, and need for fluid bolus suggest internal bleeding after trauma, leading to a significant drop in hemoglobin and hematocrit.
• Hemodilution from intravenous fluids: The client received large volumes of IV fluids (bolus and maintenance infusion), which dilute circulating red blood cells, worsening the anemia picture.
Rationale for incorrect choices:
• Acidosis: No arterial blood gas (ABG) results are available yet, so there is no evidence to confirm a metabolic or respiratory acidosis at this stage.
• Hypovolemia: The client initially showed low blood pressure and tachycardia, but stabilization with fluids improved her vitals; the lab values specifically indicate anemia, not pure hypovolemia.
• Disseminated intravascular coagulation: PT and PTT are within normal limits, with no signs of uncontrolled clotting or bleeding, so DIC is not supported.
• Rh factor sensitization: The client is B+, but there is no mention of pregnancy or transfusion reactions that would trigger Rh-related hemolysis.
• Pregnancy: No history, findings, or labs indicate pregnancy, so this option is unrelated to the client’s current trauma and blood results.
• Hypoxia: Oxygen saturation remains 98–100% on mechanical ventilation, showing adequate oxygenation despite anemia.
• Blood administration: While the client may need transfusion, labs reflect anemia caused by blood loss and hemodilution, not from receiving blood products.
• Immune response: There are no clinical or laboratory findings of immune-mediated destruction of red cells or inflammation causing the anemia.
• Clotting cascade: Normal PT and PTT show the coagulation pathway is intact, ruling out clotting disorders as the cause of low hemoglobin and hematocrit.
• Hypoventilation: The client is mechanically ventilated with normal oxygenation, and there is no evidence of hypoventilation contributing to her anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Duodenal ulcers: There is no direct link between elevated BMI and duodenal ulcers. Ulcers are more commonly associated with H. pylori infection, NSAID use, or stress-related factors rather than obesity.
B. Hyperlipidemia: Obesity is strongly associated with abnormal lipid metabolism, increasing the risk of elevated cholesterol and triglyceride levels. Hyperlipidemia contributes to cardiovascular disease and is a common comorbidity in clients with a BMI ≥30 kg/m².
C. Hypertension: Excess body weight increases vascular resistance and cardiac workload, placing obese clients at higher risk for developing hypertension. Elevated blood pressure is a major obesity-related health concern.
D. Atherosclerosis: Chronic hyperlipidemia and hypertension associated with obesity accelerate plaque formation in arteries. Clients with a high BMI are at increased risk for atherosclerotic cardiovascular disease.
E. Stomatitis: There is no established association between obesity and inflammation of the oral mucosa. Stomatitis is usually related to infections, medications, or nutritional deficiencies.
Correct Answer is A
Explanation
A. Wear closed-toe shoes that are comfortable and fit well: Proper footwear is essential to prevent foot injuries, ulcers, and infections in clients with diabetes, especially because neuropathy can reduce sensation. This response indicates understanding of a key self-care measure.
B. Check blood sugar levels every four to six hours every day: Blood glucose monitoring frequency should be individualized based on treatment regimen, activity, and glycemic control. A blanket schedule every four to six hours may not be appropriate for all clients.
C. Restrict alcoholic beverages to no more than 1 to 2 per week: Alcohol guidelines should be individualized, and alcohol can affect blood glucose unpredictably. Limiting intake is important, but this statement alone does not fully reflect diabetes management understanding.
D. Obtain an A1C blood test every year to monitor glucose control: The recommended frequency for A1C testing is usually every 3 months when starting treatment or if therapy changes, and every 6 months for stable control.
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