A client reports experiencing a tingling sensation in the hands and feet, along with difficulty maintaining balance. A nurse should recognize these as possible symptoms of which type of anemia?
Iron-deficiency anemia
Aplastic anemia
Hemolytic anemia
Vitamin B12 deficiency anemia
The Correct Answer is D
A) This choice is incorrect because tingling sensation and difficulty maintaining balance are not typical symptoms of iron-deficiency anemia.
B) This choice is incorrect because aplastic anemia primarily affects the bone marrow and results in decreased production of all blood cells, not specifically causing tingling sensation or balance issues.
C) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells and is not directly related to neurological symptoms like tingling and balance difficulties.
D) This choice is correct. Vitamin B12 deficiency anemia can cause neurological symptoms, including tingling in the hands and feet (paresthesia) and difficulty maintaining balance due to nerve damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A) This choice is correct. Serum ferritin levels are used to assess the body's iron stores. Ferritin is a protein that stores iron in the body, and low levels of serum ferritin indicate iron deficiency.
B) This choice is incorrect because the erythrocyte sedimentation rate (ESR) is a nonspecific indicator of inflammation and is not directly related to iron stores.
C) This choice is incorrect because total iron-binding capacity (TIBC) measures the amount of iron that can be bound to transferrin, a protein that transports iron in the blood, but it does not directly assess iron stores.
D) This choice is incorrect because the white blood cell count (WBC) is not directly related to iron stores or the evaluation of anemia.
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