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?
Iron-deficiency anemia
Hemolytic anemia
Pernicious anemia
Aplastic anemia
The Correct Answer is B
A) This choice is incorrect because iron-deficiency anemia is not typically associated with hemolysis or elevated bilirubin levels.
B) This choice is correct. Hemolytic anemia is characterized by the destruction of red blood cells, leading to the release of bilirubin, which causes jaundice and elevated bilirubin levels.
C) This choice is incorrect because pernicious anemia is caused by a deficiency in vitamin B12 and does not directly involve hemolysis.
D) This choice is incorrect because aplastic anemia is characterized by bone marrow suppression, resulting in decreased production of all blood cells, not hemolysis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because folate-deficiency anemia is associated with a deficiency of folic acid, often caused by poor dietary intake or malabsorption, but not specifically linked to alcoholism.
B) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells and is not directly related to alcoholism.
C) This choice is incorrect because sickle cell anemia is a genetic disorder and is not caused by alcohol consumption.
D) This choice is correct. Macrocytic anemia is commonly associated with alcoholism due to the direct toxic effects of alcohol on bone marrow, resulting in the production of larger-than-normal red blood cells (macrocytes).
Correct Answer is B
Explanation
A. With meals
Taking ferrous sulfate with meals may reduce its absorption because food, particularly dairy products and certain medications, can interfere with iron absorption.
B. On an empty stomach
Ferrous sulfate is best absorbed on an empty stomach, as food can inhibit iron absorption. However, if gastrointestinal irritation occurs, it may be taken with a small amount of food.
C. At bedtime
Taking iron supplements at bedtime is not ideal because it can cause gastrointestinal discomfort, which may interfere with sleep.
D. Simultaneously with calcium supplements
Calcium supplements can interfere with the absorption of iron, so they should not be taken at the same time as ferrous sulfate. It is recommended to space them out by at least 2 hours.
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