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RN Nursing · Hematological Assessment · Practice question

Which condition results in excessive RBC production?

Answer & explanation

Correct: Polycythemia

Polycythemia is the condition characterized by excessive production of red blood cells (erythrocytes). In polycythemia vera, a myeloproliferative disorder, the bone marrow produces too many RBCs, often accompanied by increases in white blood cells and platelets. The elevated RBC mass increases blood viscosity, raising the risk of thrombosis, stroke, and pulmonary embolism. Secondary polycythemia can also occur in response to chronic hypoxia, as the kidneys produce more erythropoietin to stimulate additional RBC production. Hashimoto's thyroiditis is an autoimmune condition that attacks the thyroid gland, leading to hypothyroidism; it does not affect RBC production directly. Hemophilia is a hereditary coagulation disorder in which clotting factors are deficient, resulting in excessive bleeding, and it has no relationship to RBC overproduction. Diabetes mellitus is a disorder of glucose metabolism involving insulin deficiency or resistance and is also unrelated to RBC production. Students should associate the prefix "poly-" meaning many and the root "-cythemia" referring to blood cells, which makes the term itself descriptive of the condition.

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