A client with anemia is undergoing a Schilling test to determine the cause of the condition. The nurse should recognize that this test is used to diagnose which type of anemia?

Iron-deficiency anemia

Pernicious anemia

Aplastic anemia

Hemolytic anemia

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because the Schilling test is not used to diagnose iron-deficiency anemia. It is primarily used to diagnose pernicious anemia, a type of megaloblastic anemia caused by vitamin B12 deficiency.

B) This choice is correct. The Schilling test is used to diagnose pernicious anemia by assessing the body's ability to absorb vitamin B12 from the digestive system.

C) This choice is incorrect because the Schilling test is not used to diagnose aplastic anemia. Aplastic anemia is diagnosed through other means, such as bone marrow biopsy and blood tests.

D) This choice is incorrect because the Schilling test is not used to diagnose hemolytic anemia. Hemolytic anemia is diagnosed through blood tests and other assessments to determine red blood cell destruction.

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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. Coffee B. Tea C. Water D. Orange juice

Correct Answer is D

Explanation

A) This choice is incorrect because coffee contains substances that can inhibit iron absorption.

B) This choice is incorrect because tea, especially black tea, contains tannins that can hinder iron absorption.

C) This choice is incorrect because water does not enhance iron absorption.

D) This choice is correct. Orange juice, or any other vitamin C-rich beverage, enhances the absorption of non-heme iron found in supplements and plant-based foods.

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A client with anemia is undergoing a Schilling test to determine the cause of the condition. The nurse should recognize that this test is used to diagnose which type of anemia?

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 with anemia is prescribed oral iron supplements. The nurse advises the client to take the supplements with which beverage to enhance iron absorption?

Correct Answer is D

Explanation

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 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 caring for a client with anemia. Which diagnostic test should the nurse anticipate to determine the cause of the anemia and assess the size and shape of the red blood cells?

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

A nurse is assessing a client diagnosed with anemia. Which of the following statements about anemia is correct?