A client diagnosed with sickle cell anemia is admitted to the hospital during a vaso-occlusive crisis. The nurse understands that which of the following interventions is a priority in managing this crisis?

Administering antibiotics

Providing blood transfusions

Initiating oxygen therapy

Encouraging fluid intake

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because while antibiotics may be necessary if there is an infection, they are not the priority intervention during a vaso-occlusive crisis.

B) This choice is incorrect because blood transfusions may be needed if there is severe anemia or complications, but they are not the priority intervention during a vaso-occlusive crisis.

C) This choice is correct. Initiating oxygen therapy is a priority in managing a vaso-occlusive crisis in sickle cell anemia. Providing supplemental oxygen can help improve tissue oxygenation and reduce the severity of the crisis.

D) This choice is incorrect because although encouraging fluid intake is important in managing sickle cell anemia, it is not the priority intervention during a vaso-occlusive crisis.

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Correct Answer is A

Explanation

A) This choice is correct. Folate-deficiency anemia can present with fatigue, weakness, and glossitis (inflammation of the tongue), leading to a red, sore tongue.

B) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells, and it does not specifically cause a red, sore tongue.

C) This choice is incorrect because sickle cell anemia primarily causes vaso-occlusive crises and pain, not symptoms related to the tongue.

D) This choice is incorrect because iron-deficiency anemia does not cause glossitis; however, it may present with fatigue and weakness.

A. Iron-deficiency anemia B. Aplastic anemia C. Sickle cell anemia D. Megaloblastic anemia

Correct Answer is D

Explanation

A) This choice is incorrect because iron-deficiency anemia is associated with microcytic and hypochromic red blood cells, not macrocytic and normochromic cells.

B) This choice is incorrect because aplastic anemia typically presents with normocytic and normochromic red blood cells.

C) This choice is incorrect because sickle cell anemia does not cause macrocytic and normochromic red blood cells.

D) This choice is correct. Megaloblastic anemia is characterized by macrocytic (large) and normochromic (normal color) red blood cells, which are the result of impaired DNA synthesis during red blood cell production. This condition is often caused by vitamin B12 or folate deficiency.

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A client diagnosed with sickle cell anemia is admitted to the hospital during a vaso-occlusive crisis. The nurse understands that which of the following interventions is a priority in managing this crisis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client presents with fatigue, weakness, and a red, sore tongue. A nurse suspects the client may have a specific type of anemia. Which type is most likely based on these findings?

Correct Answer is A

Explanation

A client is diagnosed with anemia, and laboratory results show macrocytic and normochromic red blood cells. A nurse suspects a specific type of anemia based on these findings. Which type is most likely to be associated with this result?

Correct Answer is D

Explanation

A nurse is assessing a client with anemia. Which of the following symptoms is most commonly associated with anemia?

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