Author Question: At the completion of a physical examination the nurse suspects that a patient is experiencing ... (Read 89 times)

corkyiscool3328 · **on:** Jun 25, 2018

At the completion of a physical examination the nurse suspects that a patient is experiencing thalassemia. What did the nurse assess to make this clinical decision?

Select all that apply.

1. confusion
2. muscle cramps
3. slight splenomegaly
4. bronze skin coloring
5. spontaneous fractures

Question 2

A patient is being treated for acquired hemolytic anemia. Which assessment finding suggests that the condition is severe?

1. misshapen limbs due to pathological fractures
2. enlarged spleen
3. jaundice
4. bradycardia

nekcihc358 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3, 4
People with thalassemia minor often are asymptomatic. When manifestations do occur, they include mild splenomegaly and bronze skin coloring. Confusion, muscle cramps, and spontaneous fractures are not associated with thalassemia.

Answer to Question 2

Correct Answer: 1
The manifestations of acquired hemolytic anemia depend on the extent of hemolysis and the body's ability to replace destroyed red blood cells (RBCs). When the condition is severe, bone marrow expands, and bones may be deformed or may develop pathologic fractures. An enlarged spleen and jaundice may be present but are not defining characteristics of severe acquired hemolytic anemia. Bradycardia is not related to this condition. Tachycardia would be anticipated in the severe form of this anemia.