Which potential complication would the nurse identify as a high risk for a patient admitted to the hospital with pancytopenia? Select all that apply.
Bleeding.
Infection.
Seizures.
Neurogenic shock.
Pulmonary edema.
Correct Answer : A,B
Choice A reason: Bleeding is a high-risk complication for patients with pancytopenia because of the low platelet count. Platelets are crucial for blood clotting, and their deficiency leads to an increased risk of spontaneous bleeding and difficulty in stopping bleeding once it starts. This can result in significant blood loss and complications if not managed promptly.
Choice B reason: Infection is another high-risk complication for patients with pancytopenia due to the low white blood cell count. White blood cells are essential for fighting infections, and their deficiency makes patients more susceptible to bacterial, viral, and fungal infections. These infections can be severe and difficult to control, leading to further complications and increased morbidity.
Choice C reason: Seizures are not typically associated with pancytopenia. Seizures are more commonly linked to neurological conditions, electrolyte imbalances, or other underlying medical issues rather than low blood cell counts.
Choice D reason: Neurogenic shock is not a common complication of pancytopenia. Neurogenic shock occurs due to a disruption in the autonomic nervous system, often resulting from spinal cord injuries or severe central nervous system damage, rather than low blood cell counts.
Choice E reason: Pulmonary edema is not directly related to pancytopenia. Pulmonary edema involves fluid accumulation in the lungs, often due to heart failure, kidney disease, or other causes, rather than low blood cell counts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E"]
Explanation
Choice A reason: ACE inhibitors are primarily used to treat high blood pressure and heart failure, but they are not typically the first line of treatment for peripheral artery disease (PAD). While they may be prescribed to manage underlying conditions that contribute to PAD, they are not specifically targeted at improving blood flow in the affected arteries.
Choice B reason: Antibiotics are used to treat bacterial infections and have no role in the management of peripheral artery disease (PAD). They do not address the underlying causes or symptoms of PAD and are not included in the treatment regimen for this condition.
Choice C reason: Statins are commonly prescribed to patients with peripheral artery disease (PAD) as they help lower cholesterol levels and reduce the risk of plaque buildup in the arteries. By lowering LDL cholesterol and stabilizing plaques, statins can improve blood flow and reduce the progression of PAD.
Choice D reason: Beta-blockers are used to manage high blood pressure and heart conditions, but they are not typically used as a primary treatment for peripheral artery disease (PAD). While they may be prescribed to manage underlying cardiovascular conditions, they do not directly improve blood flow in the affected arteries.
Choice E reason: Antiplatelet agents, such as aspirin and clopidogrel, are commonly prescribed to patients with peripheral artery disease (PAD) to prevent blood clots from forming in the arteries. By inhibiting platelet aggregation, these medications help improve blood flow and reduce the risk of complications associated with PAD.
Correct Answer is D
Explanation
Choice A reason: Cyanosis and hypertension are not typically associated with severe anemia. While anemia can lead to tissue hypoxia, cyanosis is more related to respiratory or cardiovascular problems, and hypertension is not a common consequence of anemia.
Choice B reason: Dysrhythmias and expiratory wheezing are not directly related to severe anemia. Dysrhythmias can occur in severe cases due to the heart's increased workload, but expiratory wheezing is generally associated with respiratory conditions like asthma or chronic obstructive pulmonary disease (COPD).
Choice C reason: Pulmonary edema and fibrosis are not linked to severe anemia. These conditions are related to heart failure, lung injury, or chronic lung diseases, rather than anemia.
Choice D reason: Dyspnea and increased heart rate are expected findings in a severely anemic patient. Dyspnea, or difficulty breathing, occurs because the body is not getting enough oxygen due to the reduced number of red blood cells. The heart rate increases as a compensatory mechanism to deliver more oxygenated blood to the tissues.
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