The nurse notes that a patient has an elevated lactate dehydrogenase, fragmented RBCs seen on microscopic examination, and low RBC count, hematocrit (Hct), and hemoglobin (Hgb) levels
For which health problem should the nurse consider planning care for this patient?
a. Serum sickness
b. Pernicious anemia
c. Hemolytic transfusion reaction
d. Idiopathic autoimmune hemolytic anemia
ANS: D
In idiopathic autoimmune hemolytic anemia, the RBC count and Hgb and Hct levels are low, with fragmented RBCs and elevated lactate dehydrogenase because of RBC destruction and tissue ischemia. A. B. C. These manifestations are not seen in serum sickness, pernicious anemia, or hemolytic transfusion reactions.
You might also like to view...
Which statement is true regarding the recording of data from the history and physical examination?
a. Use long, descriptive sentences to document findings. b. Record the data as soon as possible after the interview and physical examination. c. If the information is not documented, then it can be assumed that it was done as a standard of care. d. The examiner should avoid taking any notes during the history and examination because of the possibility of decreasing the rapport with the patient.
Rho immune globulin will be ordered postpartum if which situation occurs?
a. Mother Rh–, baby Rh+ b. Mother Rh–, baby Rh– c. Mother Rh+, baby Rh+ d. Mother Rh+, baby Rh–
When performing an assessment on a patient reporting hearing loss, which cranial nerve would the nurse include in the assessment?
A) Cranial nerve I B) Cranial nerve III C) Cranial nerve V D) Cranial nerve VIII
The patient has lower motor neuron injuries. What type of reflexes should the nurse expect to assess in this patient?
1. decreased 2. increased 3. normal 4. exaggerated