Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?
Presence of plethora (excess body fluid)
Calf swelling and pain
Platelet count 450,000/microL
Hematocrit 55%
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Abnormal vaginal bleeding. Abnormal vaginal bleeding, especially postmenopausal bleeding, is the most common symptom reported by clients being evaluated for endometrial cancer.
B. Recurrent urinary tract infections. This is not a common symptom of endometrial cancer.
C. Hot flashes. Hot flashes are typically associated with menopause and hormone changes, not endometrial cancer.
D. Blood in the stool. Blood in the stool is more commonly associated with gastrointestinal issues or colorectal cancer, not endometrial cancer.
Correct Answer is B
Explanation
A. Tamoxifen: Tamoxifen is primarily used in the treatment of breast cancer, not prostate cancer.
B. Leuprolide: Leuprolide is a gonadotropin-releasing hormone (GnRH) agonist commonly used in the treatment of advanced prostate cancer to reduce testosterone levels, slowing the growth of cancer cells.
C. Cyclophosphamide: Cyclophosphamide is a chemotherapy drug used to treat various types of cancer but is not commonly used specifically for prostate cancer.
D. Finasteride: Finasteride is a 5-alpha-reductase inhibitor used to treat benign prostatic hyperplasia (BPH) and male pattern baldness but is not typically used in the treatment of advanced prostate cancer.
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