Which erythrocyte characteristic would the nurse expect to see in the laboratory findings for a patient who has experienced acute blood loss?
Microcytic.
Normocytic.
Hypochromic.
Megaloblastic.
The Correct Answer is B
The correct answer is: B. Normocytic.
Choice A rationale: Microcytic erythrocytes, or smaller-than-normal red blood cells, are typically seen in chronic conditions like iron deficiency anemia, not acute blood loss.
Choice B rationale: Normocytic erythrocytes, or normal-sized red blood cells, are usually seen in acute blood loss as the body's initial response doesn't alter the size of red blood cells.
Choice C rationale: Hypochromic erythrocytes, or paler-than-normal red blood cells, are more common in chronic anemia states such as iron deficiency.
Choice D rationale: Megaloblastic erythrocytes, or abnormally large red blood cells, are seen in conditions like vitamin B12 or folate deficiency, not in acute blood loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice c. “I will take my iron supplement along with meals.”
Choice A rationale:
Taking iron supplements with a straw is recommended to prevent staining of the teeth, which is a common side effect of liquid iron supplements.
Choice B rationale:
Taking iron supplements at bedtime can be beneficial for some patients, especially if they experience gastrointestinal discomfort when taking iron during the day.
Choice C rationale:
Taking iron supplements with meals can decrease the absorption of iron. Iron is best absorbed on an empty stomach, although it can be taken with food if gastrointestinal upset occurs.
Choice D rationale:
Taking iron supplements with orange juice is recommended because vitamin C enhances the absorption of iron.
Correct Answer is B
Explanation
Choice A rationale:
Restricting all visitors might be beneficial in preventing infections, but it is not the most important strategy for a patient with neutropenia. The main concern is the risk of infections due to the compromised immune system.
Choice B rationale:
Placing the patient in a private room is crucial for a neutropenic patient. Neutropenia, characterized by a low absolute neutrophil count (ANC), significantly compromises the patient's immune system, making them highly susceptible to infections. Isolating the patient helps minimize the risk of exposure to pathogens, reducing the likelihood of infections.
Choice C rationale:
Using an electric shaver instead of a razor is advisable to prevent cuts and minimize the risk of skin infections. While this is a good practice, it is not the most important strategy compared to isolating the patient and using personal protective equipment (PPE) during direct patient care.
Choice D rationale:
Wearing a gown and gloves when in direct contact with the patient is essential to prevent the spread of infections. This is a necessary measure, but isolating the patient in a private room takes precedence as it minimizes the risk of exposure to pathogens, providing a safer environment for the neutropenic patient.
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