A client with a history of gastric bypass surgery presents with signs of anemia. The nurse should suspect which type of anemia?

Iron-deficiency anemia

Pernicious anemia

Hemolytic anemia

Sickle cell anemia

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because iron-deficiency anemia is more likely in clients with gastric bypass surgery due to reduced iron absorption, but it is not specific to this surgery.

B) This choice is correct. Pernicious anemia is associated with gastric bypass surgery because the procedure can lead to the loss of intrinsic factor-producing cells in the stomach, which is essential for vitamin B12 absorption.

C) This choice is incorrect because hemolytic anemia is not directly linked to gastric bypass surgery.

D) This choice is incorrect because sickle cell anemia is a genetic disorder and is not related to gastric bypass surgery.

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Correct Answer is B

Explanation

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.

A. Water B. Orange juice C. Milk D. Tea

Correct Answer is D

Explanation

A) This choice is incorrect because taking ferrous sulfate with water is generally acceptable and does not significantly affect iron absorption.

B) This choice is incorrect because taking ferrous sulfate with orange juice, which is rich in vitamin C, can enhance iron absorption and is often recommended.

C) This choice is incorrect because taking ferrous sulfate with milk can reduce iron absorption, but it is not as significant as with tea or coffee.

D) This choice is correct. Tea, especially black tea, contains tannins that can inhibit iron absorption when taken with ferrous sulfate or other iron supplements.

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A client with a history of gastric bypass surgery presents with signs of anemia. The nurse should suspect which type of anemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

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 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?

A client with a history of gastric bypass surgery presents with signs of anemia. The nurse should suspect which type of anemia?

A nurse is assessing a client with suspected anemia. Which laboratory test is commonly used to confirm the diagnosis of anemia?

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?

A client is diagnosed with anemia, and laboratory results show macrocytic and normochromic red blood cells. A nurse suspects a specific type of anemia based on these findings. Which type is most likely to be associated with this result?

A client with anemia is experiencing headaches and dizziness. A nurse should suspect which type of anemia?

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?