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
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.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is ["A","D"]
Explanation
A) This choice is correct. A vegetarian diet, especially if not well-balanced and lacking in iron-rich foods, can lead to iron-deficiency anemia.
B) This choice is incorrect. Chronic kidney disease is more likely to cause anemia due to impaired erythropoietin production rather than directly causing iron deficiency.
C) This choice is incorrect. Excessive red blood cell destruction is associated with hemolytic anemia, not iron-deficiency anemia.
D) This choice is correct. Gastrointestinal bleeding, such as from peptic ulcers or inflammatory bowel disease, can lead to chronic blood loss and iron-deficiency anemia.
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