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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A) This choice is correct. A low mean corpuscular volume (MCV) indicates microcytic red blood cells, which are characteristic of iron-deficiency anemia.

B) This choice is incorrect because hemolytic anemia typically presents with a normal or elevated MCV, not a low MCV.

C) This choice is incorrect because megaloblastic anemia is associated with an elevated MCV due to the presence of larger-than-normal red blood cells (macrocytic).

D) This choice is incorrect because pernicious anemia is associated with a macrocytic MCV, not a microcytic MCV.

A. Administering antibiotics B. Providing blood transfusions C. Initiating oxygen therapy D. Encouraging fluid intake

Correct Answer is C

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's laboratory results and finds a low mean corpuscular volume (MCV). Which type of anemia does this finding suggest?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

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?

A nurse is assessing a client with anemia, and the client reports a history of chronic alcoholism. Which type of anemia is most likely to be associated with alcoholism?

A nurse is caring for a client diagnosed with iron-deficiency anemia. The client asks the nurse about dietary changes to improve their condition. Which food item should the nurse recommend to the client to increase their iron intake?

A nurse is caring for a client with anemia, and the client has a history of chronic inflammatory diseases such as rheumatoid arthritis. Which of the following types of anemia is most likely to be associated with chronic inflammatory conditions?

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

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 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: