Which of the following best describes a clinical manifestation of polycythemia vera?
peripheral edema
an elevated white blood cell count
orthopnea
an elevated hemoglobin
The Correct Answer is D
A. Peripheral edema is more common in heart failure, not polycythemia vera.
B. WBCs may be elevated, but RBC overproduction is the defining feature.
C. Orthopnea is associated with heart failure, not polycythemia vera.
D. Elevated hemoglobin is a hallmark of polycythemia vera due to excessive RBC production.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Peripheral edema is more common in heart failure, not polycythemia vera.
B. WBCs may be elevated, but RBC overproduction is the defining feature.
C. Orthopnea is associated with heart failure, not polycythemia vera.
D. Elevated hemoglobin is a hallmark of polycythemia vera due to excessive RBC production.
Correct Answer is A
Explanation
A. Alert and oriented, blood and urine without ketones, no orthostatic blood pressure changes – These findings indicate improved hydration, resolution of hyperosmolarity, and recovery of neurological function, key markers of HHS improvement.
B. Alert and oriented, balanced intake and output, moist mucous membranes – While improved hydration is good, ketone clearance and hemodynamic stability are more important indicators.
C. Respirations easy and unlabored, eats 50-75% of meals, vital signs stable – Respiratory status is not the primary concern in HHS.
D. Equal intake and output, denies pain or shortness of breath – These signs do not specifically indicate resolution of HHS.
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