Aplastic anemia is a disorder in which the bone marrow cells that develop into mature blood cells become damaged. The damaged bone marrow cells can lead to low numbers of red blood cells, white blood cells, and/or platelets. When the cause of aplastic anemia cannot be diagnosed, the cause is likely which of the following?

Radiation exposure

An autoimmune disorder

Chemotherapy drugs

Toxins

Answer and Explanation

The Correct Answer is B

A.   Radiation exposure: Radiation exposure can cause aplastic anemia, but if the cause is unknown, it is less likely to be due to a specific and identifiable event like radiation exposure.
B.   An autoimmune disorder: When the cause of aplastic anemia cannot be diagnosed, it is often attributed to an autoimmune disorder where the body attacks its own bone marrow cells.
C.   Chemotherapy drugs: Chemotherapy drugs can cause aplastic anemia, but this cause would typically be known based on the patient's medical history.
D.   Toxins: Toxins can cause aplastic anemia, but like chemotherapy drugs and radiation, this cause would generally be identifiable.

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Correct Answer is A

Explanation

A. Given the low hemoglobin level and weight, the patient is likely experiencing fatigue due to decreased oxygen-carrying capacity of the blood, leading to activity intolerance.
B. While weight loss may contribute to body image disturbance, it is not the primary concern for a patient with iron-deficiency anemia and low hemoglobin levels.
C. Anxiety related to the hospital environment may be present, but it is not the most appropriate nursing diagnosis based on the patient's clinical presentation and laboratory findings.
D. Impaired tissue integrity related to immobility is not the most appropriate nursing diagnosis for a patient with iron-deficiency anemia. This diagnosis is more commonly associated with pressure ulcers or skin breakdown in patients who are immobile for extended periods, which is not described in this scenario.

A. Menopause B. Menarche C. The follicular phase D. The luteal phase

Correct Answer is C

Explanation

A. Menopause is the cessation of menstruation and marks the end of the reproductive years.
B. Menarche is the onset of menstruation and does not describe a phase of the menstrual cycle.
C. The follicular phase begins at the end of menses and ends at ovulation. During this phase, follicles in the ovaries mature, and one dominant follicle is selected for ovulation.
D. The luteal phase follows ovulation and ends with the start of menses. During this phase, the ruptured follicle transforms into the corpus luteum, which secretes progesterone to prepare the uterus for potential implantation of a fertilized egg.

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Naxlex Comprehensive Predictor Exams

In helping prepare a nursing care plan for a 90-pound, 82-year-old woman with iron-deficiency anemia with a hemoglobin of 8.2, the nurse agrees that the most appropriate nursing diagnosis would be:

Correct Answer is A

Explanation

The part of the female reproductive cycle that begins at the end of menses and ends at ovulation is:

Correct Answer is C

Explanation

A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report?

A nurse is reinforcing breast self-examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching? (Select all that apply.)

During an outpatient well visit with a patient who has sickle cell anemia, you make it PRIORITY to assess the patient's?

Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?

A school nurse is reinforcing teaching to a group of teenage clients about prevention of sexually transmitted infections (STIs). Which of the following practices is the most effective form of protection to include in the teaching?

A nurse is reinforcing teaching with a client who has a new diagnosis of testicular cancer.Which of the following statements should the nurse include in the teaching? (Select all that apply.)

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