Select the signs and symptoms of anemia. Select All That Apply.
Dizziness
Fatigue
Shortness of breath
Decreased heart rate
Erythema
Correct Answer : A,B,C
Rationale:
A. Anemia results in reduced oxygen-carrying capacity of the blood due to low red blood cell or hemoglobin levels. This can cause cerebral hypoxia, leading to dizziness, lightheadedness, or even fainting.
B. Fatigue is a hallmark symptom of anemia because tissues receive less oxygen, impairing cellular metabolism and energy production. Clients often report generalized weakness and decreased exercise tolerance.
C. To compensate for decreased oxygen delivery, the body increases respiratory rate, resulting in dyspnea or shortness of breath, particularly during exertion.
D. Anemia typically causes tachycardia as the cardiovascular system attempts to maintain oxygen delivery to tissues. A decreased heart rate is not a typical sign of anemia.
E. Anemia generally leads to pallor, especially of the skin, mucous membranes, and nail beds, rather than redness (erythema). Pallor occurs due to reduced hemoglobin and decreased perfusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Hypothalamus and pituitary are involved in autonomic and endocrine regulation, such as temperature control, hormone secretion, and homeostasis. While the hypothalamus can influence respiratory rate indirectly through stress or temperature changes, it does not serve as the primary control center for breathing.
B. Medulla and pons are the primary control centers for respiration. The medulla oblongata contains the dorsal respiratory group (DRG), which initiates inspiration by sending impulses to the diaphragm and external intercostal muscles, and the ventral respiratory group (VRG), which regulates forced inspiration and expiration. The pons contains the pontine respiratory group, including the apneustic and pneumotaxic centers, which fine-tune the rate and depth of breathing, coordinating smooth transitions between inhalation and exhalation. These centers respond to chemical signals (like CO₂, O₂, and pH levels) detected by central and peripheral chemoreceptors, making the medulla and pons essential for maintaining automatic, rhythmic breathing.
C. Frontal cortex and occipital lobe are parts of the cerebral cortex responsible for voluntary movements, cognitive functions, and visual processing, respectively. While the frontal cortex can exert voluntary control over breathing (e.g., holding one’s breath), it is not the primary center responsible for automatic respiratory regulation.
D. Cerebellum and corpus callosum are involved in motor coordination, balance, and interhemispheric communication. They do not control the basic rhythmic pattern of respiration or respond directly to blood gas changes.
Correct Answer is C
Explanation
Rationale:
A. Staphylococcus aureus is incorrect. While S. aureus can occasionally cause urinary tract infections, it is not the most common causative agent. S. aureus UTIs are more often associated with catheterization, hospital-acquired infections, or bacteremia, rather than community-acquired uncomplicated UTIs.
B. Streptococcus pneumoniae is incorrect. S. pneumoniae primarily causes respiratory infections such as pneumonia, otitis media, and meningitis. It is rarely implicated in urinary tract infections, so it is not the likely pathogen in this scenario.
C. Escherichia coli (E. coli) is correct. E. coli is the most common causative agent of UTIs, responsible for approximately 75–95% of community-acquired infections. It normally resides in the gastrointestinal tract and can ascend the urethra to infect the bladder (cystitis) or kidneys (pyelonephritis). Symptoms often include dysuria, urinary frequency and urgency, suprapubic discomfort, and cloudy or foul-smelling urine.
D. Klebsiella pneumoniae is incorrect. K. pneumoniae can cause UTIs, particularly in hospitalized patients or those with indwelling catheters, but it is much less common than E. coli in community-acquired UTIs.
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