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RN Nursing · Pathophysiology · Practice question

What feature do reticulocytes retain?

Answer & explanation

Correct: A few organelles

Reticulocytes are immature red blood cells that have recently been released from the bone marrow. Unlike fully mature erythrocytes, which have ejected virtually all intracellular organelles including their nucleus, mitochondria, and ribosomes during development, reticulocytes retain a small number of residual organelles — most notably remnants of ribosomes and endoplasmic reticulum. These residual organelles give the cell a reticulated, or mesh-like, appearance when stained with special dyes, which is how they get their name. This stage is brief; within one to two days of entering circulation, the remaining organelles are degraded and the cell becomes a fully mature erythrocyte. The option stating reticulocytes cannot transport oxygen is incorrect — they do contain hemoglobin and can carry oxygen. The option describing them as fully mature RBCs is wrong because full maturity means complete loss of organelles, which has not yet occurred. The option stating they have no organelles describes mature erythrocytes, not reticulocytes. Understanding the reticulocyte count is clinically important because an elevated count indicates the bone marrow is actively producing red blood cells, which is a useful indicator in the workup of anemia and treatment response.

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