A nurse is caring for a patient who reports an increase in bruising. The nurse should expect which of the following laboratory values?

Platelets 110,000 mm3

WBC 8,000 mm3

Hemoglobin 13.0 g/dL

RBC 4.6 million/mm3

Answer and Explanation

The Correct Answer is A

A. Platelets 110,000 mm³ – Correct Answer. A low platelet count (thrombocytopenia) increases the risk of bruising and bleeding. Normal platelet range is 150,000–400,000 mm³.

B. WBC 8,000 mm³ – Normal white blood cell count; does not explain increased bruising.

C. Hemoglobin 13.0 g/dL – Normal hemoglobin level; not related to bruising.

D. RBC 4.6 million/mm³ – Normal RBC count; does not indicate a bleeding risk.

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Correct Answer is B

Explanation

A. Impaired immunity. – Incorrect. While anemia may weaken overall health, hemoglobin levels of 10 g/dL do not significantly affect immune function.

B. Hypoxia. – Correct Answer. Hemoglobin carries oxygen in the blood, and low levels can lead to decreased oxygen delivery to tissues, causing hypoxia.

C. Fluid retention. – Incorrect. Anemia does not directly cause fluid retention.

D. Prolonged bleeding. – Incorrect. While severe anemia can be associated with bleeding disorders, a hemoglobin level of 10 g/dL does not significantly impair clotting.

A. obtain the patient's blood glucose level between 2a.m-4a.m B. check the patient for a change in level of consciousness between 2a.m-4a.m C. withhold the night time snack and check the glucose at 6:00a.m. D. administer an increased dose of NPH insulin in the evening

Correct Answer is A

Explanation

A. Obtain the patient's blood glucose level between 2a.m-4a.m – Correct Answer. The Somogyi effect occurs when nighttime hypoglycemia triggers a rebound hyperglycemia in the morning. Checking the blood glucose level during the early morning hours helps confirm this phenomenon.

B. Check the patient for a change in level of consciousness between 2a.m-4a.m – Incorrect. While severe hypoglycemia can affect consciousness, the best way to confirm the Somogyi effect is through blood glucose monitoring.

C. Withhold the nighttime snack and check the glucose at 6:00 a.m. – Incorrect. A nighttime snack can help prevent the hypoglycemia that leads to the Somogyi effect.

D. Administer an increased dose of NPH insulin in the evening. – Incorrect. Increasing insulin could worsen nighttime hypoglycemia, making the Somogyi effect worse.

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A nurse is caring for a patient who reports an increase in bruising. The nurse should expect which of the following laboratory values?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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