The nurse is performing an assessment on a client with a diagnosis of pernicious anemia.

Which finding would the nurse expect to note in this client?

Dusky mucous membranes

Red tongue that is smooth and sore

Shortness of breath on exertion

Dyspnea

Answer and Explanation

The Correct Answer is B

A.   Dusky mucous membranes are not typically associated with pernicious anemia.
B.   A red tongue that is smooth and sore is a common finding in pernicious anemia due to vitamin B12 deficiency, which affects the epithelial cells of the tongue.
C.   Shortness of breath on exertion can occur in many types of anemia but is not specific to pernicious anemia.
D.   Dyspnea is also a common symptom in various anemias but is not as characteristic as the red, smooth, and sore tongue in pernicious anemia.

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Correct Answer is C

Explanation

A. DIC is not characterized by decreased production of clotting factors. Instead, it involves consumption of clotting factors due to widespread activation of coagulation.
B. While platelet dysfunction may occur in DIC due to consumption and depletion of platelets, the primary pathophysiological process in DIC is the activation of clotting factors and formation of blood clots throughout the vasculature.
C. Excessive activation of clotting factors and widespread clot formation is the primary pathophysiological process in DIC. This leads to the formation of numerous small blood clots throughout the body's blood vessels, resulting in organ dysfunction and potentially life-threatening complications.

D. Excessive platelet production is not a characteristic feature of DIC. Instead, platelets are consumed and depleted as they are incorporated into the blood clots formed during the
coagulation cascade in DIC.

A. "Dietary supplements have not been tested and approved by the government." B. "Dietary supplements may be expensive and are not typically covered by insurance." C. "There is not enough evidence that dietary supplements are effective for erectile dysfunction." D. "Dietary supplements can cause a drug-drug interaction with nitrates."

Correct Answer is D

Explanation

A. "Dietary supplements have not been tested and approved by the government." While this statement may be true, it is not directly related to the potential interaction between dietary supplements and nitroglycerin.

B. "Dietary supplements may be expensive and are not typically covered by insurance." While cost considerations are important, they are not directly related to the potential interaction
between dietary supplements and nitroglycerin.
C. "There is not enough evidence that dietary supplements are effective for erectile dysfunction."
While this statement may be true, it is not directly related to the potential interaction between dietary supplements and nitroglycerin.
D. "Dietary supplements can cause a drug-drug interaction with nitrates." Nitroglycerin is a medication commonly used for angina, and it interacts with erectile dysfunction medications
such as sildenafil (Viagra) due to its vasodilatory effects, potentially causing severe hypotension.
Therefore, it is crucial for the nurse to educate the client about the risk of interactions between dietary supplements and nitroglycerin.

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The nurse is performing an assessment on a client with a diagnosis of pernicious anemia. Which finding would the nurse expect to note in this client?

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Naxlex Comprehensive Predictor Exams

What is the primary pathophysiological process that occurs in disseminated intravascular coagulation (DIC)?

Correct Answer is C

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Correct Answer is D

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The nurse is performing an assessment on a client with a diagnosis of pernicious anemia.

Which finding would the nurse expect to note in this client?