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 an electrocardiogram (ECG) is not a diagnostic test for anemia. It is used to assess heart function.

B) This choice is correct. A complete blood count (CBC) is the primary diagnostic test used to confirm the presence of anemia. It provides information about red blood cell count, hemoglobin levels, hematocrit, and other parameters related to blood cell characteristics.

C) This choice is incorrect because serum creatinine is used to assess kidney function, not to diagnose anemia.

D) This choice is incorrect because a urinalysis is not a diagnostic test for anemia. It is used to assess kidney function and urinary tract health.

A. Monitoring the client's temperature B. Administering pain medication C. Obtaining informed consent D. Checking the client's blood type

Correct Answer is D

Explanation

A) This choice is incorrect because monitoring the client's temperature is important, but it is not the priority during the PRBC transfusion process.

B) This choice is incorrect because administering pain medication may be necessary if the client is experiencing discomfort during or after the transfusion, but it is not the priority action.

C) This choice is incorrect because obtaining informed consent is an essential step before any medical intervention, including transfusions, but it is not the priority during the transfusion process.

D) This choice is correct. Checking the client's blood type is a priority before administering a PRBC transfusion to ensure compatibility and prevent adverse reactions. Transfusion reactions can be life-threatening, so verifying the blood type is crucial for client safety.

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

Correct Answer is B

Explanation

A client with anemia is receiving packed red blood cell (PRBC) transfusions. The nurse should prioritize which action during the transfusion process?

Correct Answer is D

Explanation

A client with anemia is undergoing diagnostic evaluation. The nurse anticipates that which laboratory test will be ordered to assess the body's iron stores?

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

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 with a low reticulocyte count. Which type of anemia is most likely to be associated with this finding?

A nurse is assessing a client with anemia. Which of the following symptoms is most commonly associated with anemia?

A nurse is caring for a client with megaloblastic anemia. Which vitamin deficiency is most likely responsible for this condition?