A client with anemia presents with pale skin, fatigue, and shortness of breath. The nurse should prioritize which intervention?
Initiating oxygen therapy
Administering pain medication
Assessing the client's pain level
Encouraging rest and activity balance
The Correct Answer is A
A) This choice is correct because the client is showing signs of decreased oxygen-carrying capacity due to anemia, and providing oxygen can help improve oxygen saturation levels and alleviate symptoms.
B) This choice is incorrect because pain medication does not address the underlying issue of anemia and the client's symptoms.
C) This choice is incorrect because assessing pain levels is not the priority when the client is presenting with symptoms of anemia and potential oxygen deficiency.
D) This choice is incorrect because although rest and activity balance are essential for overall well-being, they do not directly address the client's acute symptoms related to anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) This choice is correct. Taking iron supplements with orange juice or other vitamin C-rich beverages enhances iron absorption due to the presence of vitamin C, which facilitates the absorption of non-heme iron.
B) This choice is incorrect because milk can inhibit iron absorption when taken with iron supplements.
C) This choice is incorrect because tea, especially black tea, contains tannins that can hinder iron absorption.
D) This choice is incorrect because carbonated water does not enhance iron absorption.
Correct Answer is C
Explanation
A) This statement is incorrect because anemia is characterized by a decrease in red blood cell production or an abnormal decrease in hemoglobin levels, not an increase in red blood cell production.
B) This statement is incorrect because anemia is caused by a deficiency in iron, not an excess of iron.
C) This statement is correct. Anemia is characterized by a reduced number of red blood cells or a decreased hemoglobin concentration, which leads to a diminished ability of the blood to carry oxygen throughout the body.
D) This statement is incorrect. Anemia is not caused by a viral infection affecting the bone marrow; rather, it is typically caused by nutritional deficiencies, chronic diseases, or blood loss.
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