The nurse notes that a patient has a smooth and shiny tongue surface.
The nurse would attribute these findings to which condition?

The patient has neutropenia.

The patient has polycythemia.

The patient has pernicious anemia.

The patient has elevated estrogen levels.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Neutropenia is a condition characterized by a low number of neutrophils, a type of white blood cell. Neutropenic patients are at increased risk of infections, but neutropenia does not cause specific changes in the tongue surface. The smooth and shiny tongue surface described in the question is not indicative of neutropenia.

Choice B rationale:

Polycythemia is a condition characterized by an abnormally high concentration of hemoglobin in the blood. It can cause the skin to appear reddish or flushed, but it does not directly cause changes in the tongue surface such as smoothness and shininess.

Choice C rationale:

Pernicious anemia is a type of anemia caused by a deficiency of vitamin B12, which is essential for the formation of red blood cells and the maintenance of the nervous system. One of the characteristic signs of pernicious anemia is glossitis, which is inflammation of the tongue that can make the tongue appear smooth and shiny. This finding aligns with the description provided in the question.

Choice D rationale:

Elevated estrogen levels can cause changes in the skin, such as increased pigmentation or the development of spider veins, but they do not directly cause changes in the tongue surface as described in the question.

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Correct Answer is B

Explanation

The correct answer is: B. Normocytic.

Choice A rationale: Microcytic erythrocytes, or smaller-than-normal red blood cells, are typically seen in chronic conditions like iron deficiency anemia, not acute blood loss.

Choice B rationale: Normocytic erythrocytes, or normal-sized red blood cells, are usually seen in acute blood loss as the body's initial response doesn't alter the size of red blood cells.

Choice C rationale: Hypochromic erythrocytes, or paler-than-normal red blood cells, are more common in chronic anemia states such as iron deficiency.

Choice D rationale: Megaloblastic erythrocytes, or abnormally large red blood cells, are seen in conditions like vitamin B12 or folate deficiency, not in acute blood loss.

A. Hypotonic saltwater. B. Hypertonic saltwater. C. Hypotonic freshwater. D. Hypertonic freshwater.

Correct Answer is B

Explanation

The correct answer is B. Hypertonic saltwater.

Choice A rationale: Hypotonic saltwater would not cause significant fluid shifts into the alveoli. Instead, it would cause cells to swell due to the lower concentration of solutes outside the cells.

Choice B rationale: Hypertonic saltwater causes fluid to be drawn from the vascular space into the alveoli due to the higher concentration of solutes in the water compared to the body's cells. This can impair alveolar ventilation and result in hypoxia.

Choice C rationale: Hypotonic freshwater would cause cells to swell and potentially burst due to the lower concentration of solutes outside the cells, but it would not specifically cause fluid to be drawn into the alveoli.

Choice D rationale: Hypertonic freshwater is not a common classification for drowning water. Freshwater is typically hypotonic compared to body fluids, and it would not cause the same fluid shift as hypertonic saltwater.

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The nurse notes that a patient has a smooth and shiny tongue surface.The nurse would attribute these findings to which condition?

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Naxlex Comprehensive Predictor Exams

Which erythrocyte characteristic would the nurse expect to see in the laboratory findings for a patient who has experienced acute blood loss?

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Correct Answer is B

Explanation

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The nurse notes that a patient has a smooth and shiny tongue surface.
The nurse would attribute these findings to which condition?