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