Chapter 21 NCLEX patho
Which client is most likely to experience chronic iron deficiency anemia? Question content area bottom Part 1 A. 25-year-old woman B. 10-year-old child C. 50-year-old man D. 80-year-old man with multiple health problems
D. 80-year-old man with multiple health problems
Which type of anemia should prompt the healthcare provider to order genetic testing for a client being evaluated for anemia? (Select all that apply.) Question content area bottom Part 1 A. Thalassemia B. Vitamin B12 deficiency anemia C. Iron deficiency anemia D. Sickle cell disease E. Aplastic anemia
A. Thalassemia D. Sickle cell disease
A client is being evaluated for nutritional anemia. For which risk factor should the nurse assess this client? (Select all that apply.) Question content area bottom Part 1 A. Alcohol abuse B. Serious infection C. Menstruation D. Pregnancy E. Delivery of a baby
A. Alcohol abuse D. Pregnancy
Which clinical manifestation should a nurse expect to assess in a client with sickle cell disease? (Select all that apply.) Question content area bottom Part 1 A. Extremity infarction B. Retinopathy C. Bradycardia D. Hematuria E. Blood in stool
A. Extremity infarction B. Retinopathy D. Hematuria
Which should the nurse find when assessing the laboratory results of the client diagnosed with iron deficiency anemia? (Select all that apply.) Question content area bottom Part 1 A. Malformed RBCs B. Decreased intrinsic factor C. Large, immature RBCs D. Decreased ferritin levels E. Hypochromic RBCs
A. Malformed RBCs D. Decreased ferritin levels E. Hypochromic RBCs
A client with anemia asks the nurse about the different categories of anemia. Which is the correct response by the nurse? (Select all that apply.) Question content area bottom Part 1 A. "Anemia is categorized by a change in the structure of erythrocytes." B. "Anemia is categorized by the reduced survival time of erythrocytes." C. "Anemia is categorized by the loss of erythrocytes due to bleeding." D. "Anemia is categorized by the decreased production of erythrocytes." E. "Anemia is associated with blood type."
A. "Anemia is categorized by a change in the structure of erythrocytes." B. "Anemia is categorized by the reduced survival time of erythrocytes." D. "Anemia is categorized by the decreased production of erythrocytes."
Which client scheduled for an appointment at a community health clinic should the nurse identify as at risk for developing folic acid deficiency anemia? Question content area bottom Part 1 A. 29-year-old woman who is seven months pregnant B. Overweight client with diabetes mellitus C. 60-year-old Caucasian man D. Older man with hypertension
A. 29-year-old woman who is seven months pregnant
For which type of anemia should a nurse monitor a client who received high-dose chemotherapy? Question content area bottom Part 1 A. Thalassemia B. Aplastic anemia C. Vitamin B12 D. Hemolytic anemia
B. Aplastic anemia
Which factor places a client at an increased risk for thalassemia? Question content area bottom Part 1 A. Enlarged spleen B. Asian descent C. Immune disorder D. Receiving blood transfusion
B. Asian descent
Which laboratory test result should the nurse expect in a client with hemolytic anemia? Question content area bottom Part 1 A. Decreased erythropoietin levels B. Elevated serum bilirubin levels C. Elevated hemoglobin levels D. Microcytic, hypochromic red blood cells (RBCs)
B. Elevated serum bilirubin levels
Which is the most likely lab value for a client with polycythemia vera? Question content area bottom Part 1 A. Increased hemoglobin with decreased hematocrit B. Hematocrit of 75% C. Hemoglobin of 7.5 g/dL D. Decreased platelets and normal hemoglobin and hematocrit
B. Hematocrit of 75%
Which clinical manifestation should the nurse expect to find in the client being evaluated for hemolytic anemia? Question content area bottom Part 1 A. Bradycardia and hypotension B. Jaundice C. Chest pain D. Abdominal pain
B. Jaundice
For which clinical manifestation should the nurse monitor a client with blood loss anemia caused by trauma? (Select all that apply.) Question content area bottom Part 1 A. Increased blood pressure B. Tachycardia C. Orthostatic hypotension D. Diarrhea E. Decreased level of consciousness
B. Tachycardia C. Orthostatic hypotension E. Decreased level of consciousness
A client is diagnosed with pernicious anemia. Which treatment should the nurse anticipate being prescribed for this client? Question content area bottom Part 1 A. Blood transfusions B. Vitamin B12 Your answer is correct. C. Supplemental oxygen D. Administration of opioid pain medication
B. Vitamin B12
A client diagnosed with secondary polycythemia vera asks the nurse to explain what causes this condition. Which is the nurse's response? Question content area bottom Part 1 A. " The condition leads to pancytopenia due to bone marrow failure." B. "The condition occurs due to genetic modifications." C. " The condition results from fat replacing healthy bone marrow." D. " The condition can be caused by trauma to the bone marrow."
B. "The condition occurs due to genetic modifications."
A nurse obtains the health history of a female client with Crohn disease. Which type of anemia does the nurse expect to monitor for the client? Question content area bottom Part 1 A. Polycythemia vera B. Acquired hemolytic C. Vitamin B12 deficiency D. Iron deficiency
C. Vitamin B12 deficiency
Which describes the characteristics of red blood cells in a complete blood count (CBC) of an individual with anemia of chronic disease? Question content area bottom Part 1 A. Microcytic and hyperchromic B. Hyperproliferative C. Increased concentration of erythrocytes D. Normocytic and normochromic
D. Normocytic and normochromic
Which diagnostic test should the nurse anticipate to be prescribed for a client being evaluated for iron deficiency anemia? Question content area bottom Part 1 A. Bilirubin levels to test for liver function B. Urinalysis, to identify blood that may be in the urine C. Blood oxygen levels, to determine if cells are carrying oxygen D. Stool hemoccult, to test for blood in the stool
D. Stool hemoccult, to test for blood in the stool
A client with hemolytic anemia asks the nurse what causes this condition. Which is the nurse's response? Question content area bottom Part 1 A. "The condition can be caused by impaired hemoglobin synthesis." B. "The condition can be caused by abnormal clumping of red blood cells." C. "The condition can be caused by a defect in red blood cell metabolism." D. "The condition can be caused by an autoimmune disorder."
D. "The condition can be caused by an autoimmune disorder."
Which laboratory test result should the nurse expect in a client with polycythemia vera? Question content area bottom Part 1 A. Increased white blood cell count B. Red blood cell microscopic exam with macrocytic, deformed RBCs C. Complete blood count with thrombocytopenia D. Elevated hemoglobin and hematocrit
D. Elevated hemoglobin and hematocrit
