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?

Hypertension

Hyperkalemia

Hypoglycemia

Hypocalcemia

Answer and Explanation

The Correct Answer is A

A) This choice is correct. Epoetin alfa is a synthetic form of erythropoietin, a hormone that stimulates red blood cell production. One of the potential side effects of this medication is an increase in blood pressure (hypertension).

B) This choice is incorrect because hyperkalemia (high potassium levels) is not a common side effect of epoetin alfa therapy.

C) This choice is incorrect because hypoglycemia (low blood sugar) is not a common side effect of epoetin alfa therapy.

D) This choice is incorrect because hypocalcemia (low calcium levels) is not a common side effect of epoetin alfa therapy.

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Correct Answer is C

Explanation

A) This choice is incorrect because polyuria, or increased urination, is not a common symptom of anemia. It may be associated with other conditions like diabetes.

B) This choice is incorrect because increased appetite is not typically associated with anemia. In fact, some clients with anemia may have a reduced appetite due to fatigue and weakness.

C) This choice is correct. Anemia leads to decreased oxygen-carrying capacity of the blood, which can result in shortness of breath, especially during physical exertion.

D) This choice is incorrect because anemia causes fatigue and decreased energy levels, not increased energy levels.

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

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

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 educating a client with anemia about dietary modifications to enhance iron absorption. Which of the following food combinations should the nurse recommend to the client to optimize iron uptake?

A client with anemia is receiving erythropoiesis-stimulating agents (ESAs) to promote red blood cell production. The nurse should monitor the client for which adverse effect related to ESA therapy?

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

A client with anemia is prescribed ferrous sulfate, an oral iron supplement. The nurse instructs the client to take the medication on an empty stomach. Which beverage should the nurse recommend the client to avoid while taking the supplement?

A client diagnosed with chronic kidney disease is experiencing anemia. A nurse recognizes that this type of anemia is primarily due to:

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?

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?

A client with anemia complains of fatigue and weakness. Which additional assessment finding is commonly associated with this condition?