MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is instructing the client with polycythemia vera how to perform isometric exercises such as contracting and relaxing the quadriceps and gluteal muscle during periods of inactivity. What does the nurse understand is the rationale for this type of exercise?
A
Isometric exercise decreases the workload of the heart and restores oxygenated blood flow.
B
This type of exercise increases arterial circulation as it returns to the heart.
C
Isometric exercise programs are inclusive of all muscle groups and have an aerobic effect to increase the heart rate.
D
Contraction of skeletal muscle compresses the walls of veins and increases the circulation of venous blood as it returns to the heart.
Explanation: 

Detailed explanation-1: -The most common treatment for polycythemia vera is having frequent blood withdrawals, using a needle in a vein (phlebotomy). It’s the same procedure used for donating blood. This decreases your blood volume and reduces the number of excess blood cells.

Detailed explanation-2: -Isometric exercises place tension on particular muscles without moving the surrounding joints. By applying constant tension to the muscles, isometric exercises can be useful for improving physical endurance and posture by strengthening and stabilizing the muscles.

Detailed explanation-3: -The client is to receive a unit of packed red blood cells. What is the nurse’s first action? Verify that the client has signed a written consent form. Albumin is important for the maintenance of fluid balance within the vascular system.

Detailed explanation-4: -Symptoms include lack of energy (fatigue) or weakness, headaches, dizziness, shortness of breath, visual disturbances, nose bleeds, bleeding gums, heavy menstrual periods, and bruising.

There is 1 question to complete.