The nurse is caring for a patient with severe anemia and a hemoglobin level of 4 g/dL. Which clinical manifestation will the nurse expect the patient to exhibit?

Petechiae

Glossitis

Exertional dyspnea

Palpitations

Answer and Explanation

The Correct Answer is C

Choice A reason: Petechiae are small red or purple spots caused by bleeding into the skin, typically not directly associated with anemia.

Choice B reason: Glossitis, which is inflammation of the tongue, can be associated with certain types of anemia but is not specifically related to the low hemoglobin level itself.

Choice C reason: Exertional dyspnea, or difficulty breathing upon exertion, is a common symptom of severe anemia due to the reduced oxygen-carrying capacity of the blood.

Choice D reason: Palpitations, or feeling that the heart is racing or fluttering, can occur in severe anemia as the heart attempts to compensate for the lack of oxygen in the blood.

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Correct Answer is A

Explanation

Choice A reason: Displacement is a defense mechanism where a person redirects a negative emotion from its original source to a less threatening recipient, which is what Mr. Thomas is doing.

Choice B reason: Projection involves attributing one's own unacceptable feelings or thoughts to others, which is not what Mr. Thomas is doing.

Choice C reason: Regression is a return to earlier stages of development when faced with stress, which does not describe Mr. Thomas's behavior.

Choice D reason: Reaction formation involves behaving in a way that is opposite to what one truly feels, which is not indicated in this scenario.

A. Permanent mobility impairment B. A delay of healing C. Malalignment of healed bones D. The development of a bone infection

Correct Answer is B

Explanation

Choice A reason: Permanent mobility impairment is a possible complication, but it is not the most common concern immediately following a closed reduction and cast placement.

Choice B reason:Older adults are at a higher risk for delayed healing of fractures due to factors such as reduced bone density, slower cellular repair mechanisms, and potential comorbidities like diabetes or osteoporosis. While permanent mobility impairment, malalignment, and bone infections are possible complications of fractures, they are less common in routine cases of closed reduction and casting, especially if proper care and follow-up are provided. Delayed healing is a more likely complication due to age-related changes in bone health.

Choice C reason: Malalignment of healed bones is a potential long-term complication, but it is not the immediate concern post-cast placement.

Choice D reason: Bone infections (osteomyelitis) are rare following closed fractures treated with casting, especially when there is no open wound. Infections are more likely with open fractures or surgical interventions.

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The nurse is caring for a patient with severe anemia and a hemoglobin level of 4 g/dL. Which clinical manifestation will the nurse expect the patient to exhibit?

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Naxlex Comprehensive Predictor Exams

Mr. Thomas is chastised by his boss for failing to complete an assignment. When he arrives home, he slaps his son when the boy is slow in performing his chores. Mr. Thomas is displaying:

Correct Answer is A

Explanation

An older adult patient experiences a fracture of the lower leg and undergoes closed reduction and placement of a fiberglass cast. What should the nurse prepare for when planning care?

Correct Answer is B

Explanation

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