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. Iron-deficiency anemia may present with an increased number of target cells on the peripheral blood smear, which are red blood cells with a central area of pallor and a surrounding ring of hemoglobin. This appearance is due to a reduced hemoglobin content in relation to cell size.

B) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells and typically presents with different morphological changes on the peripheral blood smear.

C) This choice is incorrect because sickle cell anemia is associated with the presence of sickle-shaped cells, not target cells.

D) This choice is incorrect because aplastic anemia is characterized by a decrease in the number of all formed elements of the blood (red blood cells, white blood cells, and platelets), and it does not typically cause target cells.

A. "I should consume more iron-rich foods in my diet." B. "I need to avoid foods high in vitamin C." C. "I will need to take lifelong vitamin B12 supplements." D. "I should limit my intake of leafy green vegetables."

Correct Answer is C

Explanation

A) This choice is incorrect because pernicious anemia is not related to iron deficiency, so increasing iron-rich foods will not address the underlying cause.

B) This choice is incorrect because vitamin C actually enhances the absorption of vitamin B12, which is essential in pernicious anemia.

C) This choice is correct. Pernicious anemia is caused by the lack of intrinsic factor, a protein necessary for vitamin B12 absorption. Clients with pernicious anemia will require lifelong vitamin B12 supplementation, often through intramuscular injections.

D) This choice is incorrect. Leafy green vegetables are good sources of folate, which is not directly related to pernicious anemia.

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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 nurse is caring for a client with anemia, and the laboratory results show an increased number of target cells on the peripheral blood smear. Which type of anemia is most likely to be associated with this finding?

Correct Answer is A

Explanation

A nurse is caring for a client with pernicious anemia. Which of the following statements made by the client demonstrates an understanding of the condition?

Correct Answer is C

Explanation

A nurse is assessing a client with suspected anemia. Which laboratory test is commonly used to confirm the diagnosis of anemia?

A client presents with signs of hemolysis, including jaundice and an elevated bilirubin level. Which type of anemia is most likely to be associated with these findings?

A nurse is assessing a client diagnosed with anemia. Which of the following statements about anemia is correct?

A nurse is reviewing laboratory results for a client with microcytic and hypochromic red blood cells. Which type of anemia does this finding suggest?

A client with anemia is receiving packed red blood cell (PRBC) transfusions. The nurse should prioritize which action during the transfusion process?

A nurse is caring for a client with sickle cell anemia during a vaso-occlusive crisis. Which of the following clinical manifestations is most likely to be observed during this crisis?

A client with anemia presents with pale skin, fatigue, and shortness of breath. The nurse should prioritize which intervention?

A client is receiving epoetin alfa therapy as part of the management of anemia. The nurse should monitor the client for which potential side effect of this medication?