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 C
Explanation
A) This choice is incorrect because hemoglobin electrophoresis is used to identify abnormal hemoglobin types, not to assess the size and shape of red blood cells.
B) This choice is incorrect because a reticulocyte count measures the number of immature red blood cells in the blood and helps determine if the bone marrow is responding appropriately to anemia, but it does not assess the size and shape of red blood cells.
C) This choice is correct. A peripheral blood smear is used to examine the morphology of red blood cells, including their size, shape, and appearance. It can help identify different types of anemia and determine the cause of anemia.
D) This choice is incorrect because serum iron levels provide information about iron status but do not directly assess the size and shape of red blood cells.
Correct Answer is A
Explanation
A) This choice is correct. Epoetin alfa is a synthetic form of erythropoietin, a hormone that stimulates red blood cell production. One of the potential side effects of this medication is an increase in blood pressure (hypertension).
B) This choice is incorrect because hyperkalemia (high potassium levels) is not a common side effect of epoetin alfa therapy.
C) This choice is incorrect because hypoglycemia (low blood sugar) is not a common side effect of epoetin alfa therapy.
D) This choice is incorrect because hypocalcemia (low calcium levels) is not a common side effect of epoetin alfa therapy.
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