The patient, age 35, is admitted with aplastic anemia. He asks the nurse what aplastic anemia is. An accurate response would be that
the activity of the bone marrow is depressed.
red cells are absent as a result of chronic blood loss.
the bone marrow fails to produce lymphocytes.
the kidneys fail to produce red blood cells.
The Correct Answer is A
A. The activity of the bone marrow is depressed. Aplastic anemia is a condition where the bone marrow fails to produce sufficient numbers of blood cells, including red cells, white cells, and platelets.
B. Red cells are absent as a result of chronic blood loss. This describes a condition like iron- deficiency anemia, not aplastic anemia.
C. The bone marrow fails to produce lymphocytes. Aplastic anemia affects the production of all blood cells, not just lymphocytes.
D. The kidneys fail to produce red blood cells. This describes anemia of chronic kidney disease, not aplastic anemia. In aplastic anemia, the problem lies with the bone marrow, not the kidneys.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Herpes simplex virus can cause genital herpes, but it typically does not lead to pelvic inflammatory disease. Pelvic inflammatory disease is more commonly associated with untreated chlamydia or gonorrhea infections.
B. Syphilis during pregnancy can lead to various complications such as stillbirth, neonatal death, or congenital syphilis in the newborn, but low birth weight is not a typical complication.
C. Human papillomavirus (HPV) infection is a known risk factor for the development of cervical cancer. Certain high-risk strains of HPV can lead to precancerous changes in cervical cells,
which, if left untreated, may progress to cervical cancer.
D. Meningitis is not a typical complication of chlamydia in males. In males, untreated chlamydia can lead to complications such as epididymitis or infertility.
Correct Answer is D
Explanation
A. Skin color: While changes in skin color can occur in hemochromatosis due to excess iron deposition, it is not the most important parameter to monitor for the effectiveness of deferoxamine.
B. Liver function: Liver function tests can be abnormal in hemochromatosis due to iron overload, but monitoring liver function alone may not adequately assess the effectiveness of deferoxamine in reducing iron levels.
C. Hematocrit: Hematocrit measures the proportion of blood that is made up of red blood cells and may be elevated in hemochromatosis, but it is not the primary parameter to monitor the effectiveness of deferoxamine.
D. Serum iron level: Serum iron level is the most direct indicator of iron overload and the effectiveness of deferoxamine in chelating and removing excess iron from the body.
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