Blood loss is a major cause of iron deficiency in adults. Some sources of chronic blood loss in adults are all except:

Gastrointestinal bleeding

Peptic ulcers

Loss of intrinsic factor

Genitourinary bleeding

Answer and Explanation

The Correct Answer is C

A.   Gastrointestinal bleeding is a common source of chronic blood loss leading to iron deficiency anemia.
B.   Peptic ulcers can cause chronic gastrointestinal bleeding, contributing to iron deficiency.
C.   Loss of intrinsic factor leads to vitamin B12 deficiency and pernicious anemia, not iron deficiency.
D.   Genitourinary bleeding is another potential source of chronic blood loss that can result in iron deficiency anemia.

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Correct Answer is B

Explanation

A. Presence of plethora is a common symptom of polycythemia vera and indicates increased blood volume but is not immediately life-threatening.
B. Calf swelling and pain could indicate a deep vein thrombosis (DVT), which is a serious complication that requires immediate medical attention.
C. A platelet count of 450,000/microL is elevated but not as critical as the possibility of a DVT.
D. Hematocrit of 55% is high, which is expected in polycythemia vera, but it is not as immediately critical as the risk of thrombosis suggested by calf swelling and pain.

A. "With your recurrent history, one of these times the cyst will be malignant." B. "I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?" C. "The surgical procedure is minimal, and you will not have to be concerned after you learn the results." D. "A prolonged ovarian abnormality should be evaluated thoroughly."

Correct Answer is B

Explanation

A. "With your recurrent history, one of these times the cyst will be malignant.": This response is not appropriate as it may cause unnecessary fear and is not supportive or informative.
B. "I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?": This response validates the client's feelings and opens a dialogue for further discussion, allowing the client to express her concerns and receive appropriate information and support.
C. "The surgical procedure is minimal, and you will not have to be concerned after you learn the results.": This response dismisses the client's concerns and does not provide an opportunity for discussion.
D. "A prolonged ovarian abnormality should be evaluated thoroughly.": While this statement is true, it does not address the client's immediate concerns and does not encourage an open
discussion.

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Blood loss is a major cause of iron deficiency in adults. Some sources of chronic blood loss in adults are all except:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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?

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