Which laboratory report finding would support the nurse's conclusion that a patient has thalassemia major? Select all that apply.
One, some, or all responses may be correct.

Increased bilirubin levels.

Increased reticulocyte level.

Increased mean corpuscular volume.

Increased total iron-binding capacity.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale:

Increased bilirubin levels can occur in thalassemia major due to the destruction of red blood cells, leading to elevated bilirubin, which is a breakdown product of hemoglobin. This elevation can contribute to jaundice and other symptoms.

Choice B rationale:

Thalassemia major leads to the destruction of red blood cells, causing the bone marrow to release more reticulocytes (immature red blood cells) into the bloodstream. Therefore, an increased reticulocyte level is expected in thalassemia major.

Choice C rationale:

Increased mean corpuscular volume (MCV) is not a typical finding in thalassemia major. Thalassemia major is characterized by microcytic (smaller than normal) red blood cells, leading to a decreased MCV.

Choice D rationale:

Thalassemia major causes increased iron absorption by the intestines, leading to elevated total iron-binding capacity (TIBC) TIBC measures the body's capacity to bind and transport iron in the blood, and elevated levels are seen in conditions with increased iron demand, such as thalassemia major.

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Correct Answer is A

Explanation

Choice A rationale:

Maximizing cardiac output is a primary goal for patients with chronic heart failure (HF) because it helps improve tissue perfusion and oxygen delivery to meet the body's demands. It is a crucial aspect of managing heart failure and preventing further complications.

Choice B rationale:

Maintaining ideal body weight is important for overall health but is not a primary goal specific to chronic heart failure management.

Choice C rationale:

While exercise is beneficial for heart failure patients, it needs to be tailored to the patient's condition. Performing aerobic exercises daily might not be suitable for all heart failure patients and is not a primary goal.

Choice D rationale:

Maintaining a steady pulse oximetry reading is important, but it is a measure of oxygen saturation in the blood and not a primary goal for managing chronic heart failure.

A. Metabolic acidosis. B. Metabolic alkalosis. C. Respiratory acidosis. D. Respiratory alkalosis.

Correct Answer is C

Explanation

The correct answer is c. Respiratory acidosis.

Choice A reason: Metabolic acidosis is incorrect because the HCO3 level is normal. In metabolic acidosis, we would expect to see a decreased HCO3.

Choice B reason: Metabolic alkalosis is incorrect because the HCO3 level is normal. In metabolic alkalosis, we would expect to see an increased HCO3.

Choice C reason: The given ABG results indicate a low pH (acidosis), an elevated PaCO2 (respiratory component), and a normal HCO3 (metabolic component). The low pH and increased PaCO2 suggest respiratory acidosis.

Choice D reason: Respiratory alkalosis is incorrect because the PaCO2 level is elevated, not decreased. In respiratory alkalosis, we would expect to see a decreased PaCO2.

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Which laboratory report finding would support the nurse's conclusion that a patient has thalassemia major? Select all that apply.One, some, or all responses may be correct.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which goal is a primary objective for a patient who has chronic heart failure (HF)?

Correct Answer is A

Explanation

The arterial blood gas (ABG) results for a patient who overdosed on barbiturates are pH = 7.32, PaCO2 = 52, and HCO3 = 23. Which interpretation would the nurse rely on when planning the patient's care?

Correct Answer is C

Explanation

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Which finding would the nurse expect to see in a patient with a hemoglobin level of 8 g/dL? Select all that apply.One, some, or all responses may be correct.

Which laboratory report finding would support the nurse's conclusion that a patient has thalassemia major? Select all that apply.
One, some, or all responses may be correct.