Which laboratory report finding would support the nurse's conclusion that a patient has thalassemia major? Select all that apply.
One, some, or all responses may be correct.

Increased bilirubin levels.

Increased reticulocyte level.

Increased mean corpuscular volume.

Increased total iron-binding capacity.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale:

Increased bilirubin levels can occur in thalassemia major due to the destruction of red blood cells, leading to elevated bilirubin, which is a breakdown product of hemoglobin. This elevation can contribute to jaundice and other symptoms.

Choice B rationale:

Thalassemia major leads to the destruction of red blood cells, causing the bone marrow to release more reticulocytes (immature red blood cells) into the bloodstream. Therefore, an increased reticulocyte level is expected in thalassemia major.

Choice C rationale:

Increased mean corpuscular volume (MCV) is not a typical finding in thalassemia major. Thalassemia major is characterized by microcytic (smaller than normal) red blood cells, leading to a decreased MCV.

Choice D rationale:

Thalassemia major causes increased iron absorption by the intestines, leading to elevated total iron-binding capacity (TIBC) TIBC measures the body's capacity to bind and transport iron in the blood, and elevated levels are seen in conditions with increased iron demand, such as thalassemia major.

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Correct Answer is C

Explanation

Choice A rationale:

While leukemia treatment does have severe side effects, not all of them are permanent. It is essential for the patient to be aware of potential complications but also to understand that some side effects might be temporary and can be managed with appropriate care.

Choice B rationale:

Using the call light to ask for help when getting out of bed is essential for patients receiving chemotherapy, as their immune system might be compromised, making them prone to infections and injuries. However, this information is not specific to leukemia treatment but is a general safety measure for these patients.

Choice C rationale:

Patients undergoing chemotherapy for leukemia are at an increased risk of infections due to the suppression of the immune system. Preventive measures, such as good hygiene practices and early detection of signs of infection, are crucial in managing these patients. Educating the patient about infection prevention is essential for their safety during treatment.

Choice D rationale:

Feeling isolated can be a common emotional response to any chronic illness, including leukemia. However, it is not an unavoidable consequence, and providing emotional support and involving the patient in support groups can help mitigate these feelings. This statement does not provide essential information about managing leukemia treatment.

A. Palpitations. B. Conjunctival pallor. C. Sternal tenderness. D. Heart rate of 104 beats/min.

Correct Answer is ["B","D"]

Explanation

Choice A rationale:

Palpitations are not directly related to a low hemoglobin level. They can occur due to various cardiac conditions but are not specific to anemia.

Choice B rationale:

Conjunctival pallor is a common physical finding in patients with low hemoglobin levels (anemia) Anemia leads to reduced oxygen-carrying capacity, causing paleness in mucous membranes such as the conjunctiva.

Choice C rationale:

Sternal tenderness is not a typical finding associated with low hemoglobin levels. It is more often associated with conditions affecting the sternum or adjacent structures, such as infections or inflammation.

Choice D rationale:

A heart rate of 104 beats/min can be a compensatory response to anemia. When the body senses reduced oxygen levels due to anemia, the heart rate may increase to pump more blood and oxygen to vital organs, attempting to compensate for the low hemoglobin levels.

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Which laboratory report finding would support the nurse's conclusion that a patient has thalassemia major? Select all that apply.One, some, or all responses may be correct.

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Naxlex Comprehensive Predictor Exams

Which information will the nurse include when teaching a patient who is receiving chemotherapy for leukemia?

Correct Answer is C

Explanation

Which finding would the nurse expect to see in a patient with a hemoglobin level of 8 g/dL? Select all that apply.One, some, or all responses may be correct.

Correct Answer is ["B","D"]

Explanation

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Which laboratory report finding would support the nurse's conclusion that a patient has thalassemia major? Select all that apply.
One, some, or all responses may be correct.