Upon assessment, the nurse observes the patient's tongue to be red and smooth. The patient complains that the tongue is sore. Based upon assessment findings, the nurse is aware that he is demonstrating symptoms associated with:
A) Sickle cell anemia
B) Hemolytic anemia
C) Megaloblastic anemia
D) Aplastic anemia
Ans: C
Feedback: A red, smooth tongue is a symptom associated with megaloblastic anemia. Iron deficiency anemia also may be characterized by a smooth, red tongue.
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A woman with a diagnosis of type 2 diabetes has been ordered a hemoglobin A1C test for the first time by her primary care provider. The woman states, "I don't see why you want to test my blood cells when its sugar that's the problem."
What aspect of physiology will underlie the care provider's response to the client? A) The amount of glucose attached to A1C cells reflects the average blood glucose levels over the life of the cell. B) Hemoglobin synthesis by the bone marrow is inversely proportionate to blood glucose levels, with low A1C indicating hyperglycemia. C) The high metabolic needs of red cells and their affinity for free glucose indicate the amount of glucose that has been available over 6 to 12 weeks. D) Insulin is a glucose receptor agonist on the hemoglobin molecule, and high glucose suggests low insulin levels.
A hospitalized patient complains of acute chest pain, which he rates as a 9 on a scale of 0 to 10 . The nurse administered a 0.4 mg sublingual nitroglycerin tablet, and now finds his vital signs to be stable. The nurse's next step is to
a. provide a second dose of nitroglycerin in 5 minutes. b. continue dosing at 10-minute intervals. c. obtain a transcutaneous pacer. d. increase the dose to 1 mg.
What would you tell her regarding her rash?
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus). She has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't blanch. A) It is likely to be related to her lupus. B) It is likely to be related to an exposure to a chemical. C) It is likely to be related to an allergic reaction. D) It should not cause any problems.
A pregnant woman married to an intravenous drug user had a negative HIV screening test just after missing her first menstrual period. What would indicate that the client needs to be retested for HIV?
1. Elevated blood pressure and ankle edema 2. Shortness of breath and frequent urination 3. Hemoglobin of 11 g/dL and a rapid weight gain 4. Unusual fatigue and recurring Candida vaginitis