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?
Serum ferritin levels
Erythrocyte sedimentation rate (ESR)
Total iron-binding capacity (TIBC)
White blood cell count (WBC)
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A) This choice is incorrect because iron-deficiency anemia is not directly related to chronic inflammatory diseases; it is more commonly associated with blood loss or inadequate iron intake.
B) This choice is incorrect because hemolytic anemia is not specifically linked to chronic inflammatory diseases.
C) This choice is incorrect because aplastic anemia is characterized by bone marrow suppression and is not primarily associated with chronic inflammatory conditions.
D) This choice is correct. Anemia of chronic disease (ACD), also known as anemia of inflammation, is a type of anemia that occurs in the setting of chronic inflammatory diseases. It is typically caused by the body's response to the inflammation, leading to impaired red blood cell production and a shortened red blood cell lifespan.
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