A student asks the professor what the most common pathophysiologic process is that triggers aplastic anemia (AA). What response by the professor is most accurate?

a. Autoimmune disease against hematopoiesis by activated cytotoxic T (Tc) cells
b. Malignancy of the bone marrow in which unregulated proliferation of erythrocytes crowd out other blood cells
c. Autoimmune disease against hematopoiesis by activated immunoglobulins
d. Inherited genetic disorder with recessive X-linked transmission


Answer: a. Autoimmune disease against hematopoiesis by activated cytotoxic T (Tc) cells

Nursing

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During the bimanual examination of a patient's uterus, the nurse notes that the uterus is tilted toward the back. What should the nurse explain to the patient about this finding?

1. The uterus of a patient who has carried a child to term is frequently in a tilted-back position. 2. The uterus may be tilted backward (retroverted) or angled backward (retroflexed). 3. The uterus of a patient with fibroid tumors frequently tilts back under the weight of the tumors. 4. The backward tilt of the uterus is consistent with pregnancy in the second or third trimester.

Nursing

When providing nutritional counseling to a client at risk for kidney stones, the nurse should recommend a:

1. Low-sodium diet. 2. High-purine diet. 3. Low-potassium diet. 4. High-protein diet.

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Physiological responses associated with anxiety are modulated by the brain through which system?

a. Autonomic nervous b. Cardiovascular c. Neuromuscular d. Endocrine

Nursing

A nurse, monitoring a client in the fourth stage of labor, checks the client's vital signs every 15 minutes. The nurse notes that the client's pulse rate has increased from 70 to 100 beats per minute. Based on this finding, which priority action should the nurse take?

A. Checking the client's uterine fundus B. Notifying the nurse-midwife immediately C. Documenting the vital signs in the client's medical record D. Continuing to check the client's vital signs every 15 minutes

Nursing