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A nurse is reinforcing teaching with a client has a new diagnosis of aplastic anemia. When discussing the pathology of this disease, which of the following instructions should the nurse include in the teaching?

A.

"Aplastic anemia results from decreased bone marrow production of RBCs."

B.

"Aplastic anemia is directly related to impaired liver function."

C.

"Aplastic anemia is associated with the decreased intake of iron."

D.

"Aplastic anemia results in an increased rate of RBC destruction."

Answer and Explanation

The Correct Answer is A

A. "Aplastic anemia results from decreased bone marrow production of RBCs." Aplastic anemia is characterized by the failure of bone marrow to produce adequate red blood cells (RBCs), white blood cells, and platelets. This results in pancytopenia, which increases the risk of infections, anemia, and bleeding.

B. "Aplastic anemia is directly related to impaired liver function." Aplastic anemia is not related to liver function; it originates from the bone marrow’s inability to produce sufficient blood cells.

C. "Aplastic anemia is associated with the decreased intake of iron." Aplastic anemia is not caused by iron deficiency; it is primarily due to bone marrow failure. Iron deficiency anemia, on the other hand, results from a lack of iron intake or absorption.

D. "Aplastic anemia results in an increased rate of RBC destruction." Increased RBC destruction is characteristic of hemolytic anemia, not aplastic anemia.


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Related Questions

Correct Answer is ["28"]

Explanation

Flowrate= Total volume ml×Drop factor÷Time

​= (1000 × 10) ÷ 360

= 27.78

≈ 28 gtt/min

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,C"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

Reported pain

  • Leukemia: Possible, as bone pain can occur due to marrow involvement.
  • Sickle Cell Anemia: Yes, common due to vaso-occlusive crises.
  • Hemophilia: No, hemophilia typically causes bleeding rather than pain from blood cell abnormalities.

Bleeding

  • Leukemia: Yes, due to thrombocytopenia.
  • Sickle Cell Anemia: No, bleeding is not typical in sickle cell crises.
  • Hemophilia: Yes, hemophilia is a bleeding disorder due to a clotting factor deficiency.

Temperature

  • Leukemia: Yes, fever can indicate infection due to immunosuppression.
  • Sickle Cell Anemia: Yes, fever can be a sign of infection during crises.
  • Hemophilia: No, hemophilia does not cause fever unless there is an infection.

Bruising

  • Leukemia: Yes, thrombocytopenia can lead to easy bruising.
  • Sickle Cell Anemia: No, bruising is not typical in sickle cell crises.
  • Hemophilia: Yes, due to a clotting factor deficiency, easy bruising is common.

WBC count

  • Leukemia: Yes, often elevated due to immature or abnormal white cells.
  • Sickle Cell Anemia: No, WBC count is usually normal unless there is an infection.
  • Hemophilia: No, WBC count is typically normal in hemophilia.

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