A client presents with fatigue. During the health interview, the patient reports craving substances that are not typically considered food. Laboratory findings reveal low serum iron and ferritin levels. What would the nurse expect the client to be diagnosed with?
Iron deficiency anemia
Pernicious anemia
Hemolytic anemia
Sickle cell disease
The Correct Answer is A
Choice A reason: Iron deficiency anemia is characterized by fatigue, low serum iron and ferritin, and pica—cravings for non-nutritive substances like ice or dirt. These findings align directly with the client’s symptoms.
Choice B reason: Pernicious anemia is caused by vitamin B12 deficiency and presents with neurological symptoms and macrocytic anemia, not pica or low ferritin.
Choice C reason: Hemolytic anemia involves destruction of red blood cells and typically presents with jaundice, dark urine, and elevated bilirubin—not low iron or pica.
Choice D reason: Sickle cell disease is a genetic disorder with vaso-occlusive crises and hemolysis, but it does not present with low iron or cravings for non-food items.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: IV dextrose is reserved for severe hypoglycemia when the client is unconscious or unable to swallow.
Choice B reason: Cheese and crackers are not fast-acting carbohydrates. They are better for long-term stabilization after initial treatment.
Choice C reason: Rechecking without intervention delays treatment and risks worsening hypoglycemia.
Choice D reason: Orange juice provides a rapid source of glucose and is appropriate for treating mild hypoglycemia in an alert client.
Correct Answer is D
Explanation
Choice A reason: Hot flashes are not associated with thrombocytopenia. They are more commonly linked to hormonal changes or certain medications but do not indicate bleeding risk.
Choice B reason: Interrupted sleep patterns may reflect discomfort or anxiety but are not indicative of thrombocytopenia.
Choice C reason: Increased weight is not a symptom of thrombocytopenia and may be due to fluid retention or other unrelated factors.
Choice D reason: Epistaxis is a hallmark symptom of thrombocytopenia due to the reduced platelet count, which impairs clotting and increases the risk of spontaneous bleeding.
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