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 ["B","C","D"]
Explanation
A) This choice is incorrect because oranges are a good source of vitamin C, which enhances iron absorption, but they do not provide significant iron content.
B) This choice is correct because spinach is a good source of iron, which is essential for clients with iron-deficiency anemia.
C) This choice is correct because red meat contains heme iron, a highly absorbable form of iron that can help improve iron levels in clients with anemia.
D) This choice is correct because nuts and seeds, such as pumpkin seeds and almonds, are good sources of iron.
Correct Answer is A
Explanation
A) This choice is correct. Headaches and dizziness are common symptoms of iron-deficiency anemia due to decreased oxygen delivery to the brain.
B) This choice is incorrect because headaches and dizziness are not specific to hemolytic anemia.
C) This choice is incorrect because pernicious anemia is primarily associated with neurological symptoms such as tingling and difficulty maintaining balance, but not specifically headaches and dizziness.
D) This choice is incorrect because headaches and dizziness are not directly related to aplastic anemia. Aplastic anemia primarily affects the bone marrow and leads to decreased production of all blood cells, rather than causing symptoms specific to the brain.
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