Anemia Cell Reg

A 79-year-old client has been diagnosed with pernicious anemia. In your client education, as his nurse, you emphasize the importance of lifelong intramuscular administration of which of the following? Vitamin B12 Vitamin A Vitamin C Folic acid

Vitamin B12

A patient is admitted to the hospital with pernicious anemia. The nurse should prepare to administer which of the following medications? Folic acid Vitamin B12 Lactulose Magnesium sulfate TAKE A PRACTICE QUIZ

Vitamin B12

Upon assessment of an older adult, the nurse notes the patient's skin to have a yellow color. The nurse recognizes and documents this skin color as which of the following? Jaundice Cyanosis Pallor Ecchymosis

Jaundice

A nurse documents a patient's hemoglobin as 8 g/dL. What nutritional condition does this biochemical data signify? Dehydration Malnutrition Malabsorption Anemia

Anemia

The client is a Jehovah's Witness with severe anemia and is prescribed 2 units of packed red blood cells. The nurse begins to teach the client about the blood transfusion. The client refuses to sign the consent form for blood administration. The nurse failed to assess the client's Learning readiness Cultural beliefs Emotional readiness Learning environment

Cultural beliefs

When teaching a patient with iron deficiency anemia about appropriate food choices, the nurse will encourage the patient to increase the dietary intake of which of the following foods? Beans, dried fruits, and leafy green vegetables Fruits high in vitamin C, such as organs and grapefruits Berries and orange vegetables Dairy products

Beans, dried fruits, and leafy green vegetables

Upon evaluation of a patient's medical history, the nurse recognizes that which of the following conditions may lead to an inadequate supply of oxygen to the tissues of the body? Chronic anemia Grave's disease Parkinson's disease Pancreatitis

Chronic anemia

For a patient with iron-deficiency anemia, the nurse should advise the patient to do which of the following to prevent staining the teeth? Take iron with or immediately after meals Dilute liquid preparations of iron with juice and drink with a straw Avoid taking iron simultaneously with an antacid Do not combine iron with other prescribed or over-the-counter medications

Dilute liquid preparations of iron with juice and drink with a straw

The nurse is instructing a client about taking a liquid iron preparation for the treatment of iron-deficiency anemia. What should the nurse include in the instructions? Do not take medication with orange juice because it will delay absorption of the iron. Iron may cause indigestion and should be taken with an antacid such as Mylanta. Dilute the liquid preparation with another liquid such as juice and drink with a straw. Discontinue the use of iron if your stool turns black.

Dilute the liquid preparation with another liquid such as juice and drink with a straw.

A patient who has been newly diagnosed with systemic lupus erythematosus (SLE) has been admitted to the medical unit. Which of the following nursing diagnoses is the most plausible inclusion in the plan of care? Fatigue Related to Anemia Risk for Ineffective Tissue Perfusion Related to Venous Thromboembolism Acute Confusion Related to Increased Serum Ammonia Levels Risk for Ineffective Tissue Perfusion Related to Increased Hematocrit

Fatigue Related to Anemia

When assessing a female patient with anemia, which of the following assessments is essential? Health history, including menstrual history Family history Age and gender Lifestyle assessments, such as exercise routines

Health history, including menstrual history

A young mother with a 2 year old and a 6 month old is experiencing fatigue related to anemia. The client states that she is having difficulty performing the activities needed for her job, family, and home. The nurse assists the client to Obtain assistance from someone to help with cleaning in the home. Request a leave of absence from her job. Prioritize and balance activities and rest. Find a babysitter to take care of her children.

Prioritize and balance activities and rest.

A client with aplastic anemia is instructed to eat foods rich in iron. The nurse should instruct the client to include which food in the diet to increase iron intake? fresh fruits cheese dark green leafy vegetables chicken breasts

dark green leafy vegetables

A 4-year-old child is seen at the clinic for a mild iron deficiency anemia caused by a poor diet. The parents ask the nurse what type of treatment to expect. What is the most appropriate response by the nurse? iron replacement and change of diet transfusion of packed red blood cells preparation for bone marrow transplant splenectomy and steroid therapy

iron replacement and change of diet

The nurse is caring for a client who has a history of aplastic anemia. Which information from the nursing history indicates that the anemia is not being managed effectively? pallor of the skin and mucous membranes heart rate of 68 bpm, bounding pulse blood pressure of 146/90 mm Hg poor skin turgor

pallor of the skin and mucous membranes

A client asks the nurse why taking folic acid is so important before and during pregnancy. What should the nurse tell the client? "Folic acid is important in preventing neural tube defects in newborns and preventing anemia in mothers." "Eating foods with moderate amounts of folic acid helps regulate blood glucose levels." "Folic acid consumption helps with the absorption of iron during pregnancy." "Folic acid is needed to promote blood clotting and collagen formation in the newborn."

"Folic acid is important in preventing neural tube defects in newborns and preventing anemia in mothers."

A client with pernicious anemia asks why she must take vitamin B12 injections forever. Which is the nurse's best response? "The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient acid." "The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient amounts of a factor that allows the vitamin to be absorbed." "The reason for your vitamin deficiency is an excessive excretion of the vitamin because of kidney dysfunction." "The reason for your vitamin deficiency is an increased requirement for the vitamin because of rapid red blood cell production."

"The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient amounts of a factor that allows the vitamin to be absorbed."

A young adult woman has had orthopedic surgery on her right knee. The first time she gets out of bed, she describes weakness, dizziness, and feeling faint. The nurse correctly recognizes which of the following conditions is likely affecting the patient? Thrombophlebitis Anemia Orthostatic hypotension Bradycardia

Orthostatic hypotension

A pregnant client comes to the facility for the first prenatal visit. After obtaining a health history and performing a physical examination, the nurse reviews the client's laboratory test results. Which findings suggest iron deficiency anemia? hemoglobin 15 g/dL (150 g/L); hematocrit 35% hemoglobin 13 g/dL (130 g/L); hematocrit 32% hemoglobin 10 g/dL (100 g/L); hematocrit 35% hemoglobin 9 g/dL (90 g/L); hematocrit 30%

hemoglobin 9 g/dL (90 g/L); hematocrit 30%