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Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

A.

Presence of plethora (excess body fluid)

B.

Calf swelling and pain

C.

Platelet count 450,000/microL

D.

Hematocrit 55%

Answer and Explanation

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.
 


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Related Questions

Correct Answer is A

Explanation

A. "Many herbal products have not undergone long-term testing for safety and efficacy.": This statement acknowledges the client's interest in herbal therapies while also providing important information about the potential risks associated with their use.
B. "Herbal therapies have no benefits and will not help your symptoms.": This statement is overly dismissive and may not be accurate, as some herbal therapies have been shown to provide symptom relief for menopausal symptoms.
C. "That is a good idea, as there are no ill effects associated with the use of herbal therapies.": This statement is inaccurate, as herbal therapies can have side effects and interactions with other medications.
D. "You should begin immediately, as they will help you.": This statement is not appropriate as it provides an unqualified endorsement of herbal therapies without considering potential risks or
individual circumstances.

Correct Answer is B

Explanation

A. Decreased serum albumin is not typically associated with hemolysis; it may occur in conditions such as liver disease or malnutrition.
B. Jaundice, or yellowing of the skin and eyes, is a common manifestation of hemolysis due to the increased production of bilirubin from the breakdown of red blood cells.
C. Increased serum bilirubin levels occur as a result of hemolysis, contributing to the development of jaundice.
D. Increased bilirubin is essentially the same as increased serum bilirubin; both indicate the presence of jaundice due to hemolysis.
E. Presence of dark urine is also characteristic of hemolysis, as it may contain excess bilirubin, giving it a darker color.

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