A client with anemia presents with pallor of the skin and mucous membranes. The nurse should assess for which other related clinical manifestation?

Petechiae

Jaundice

Cyanosis

Diaphoresis

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because petechiae, which are tiny red or purple spots on the skin, are associated with platelet disorders and not directly related to anemia.

B) This choice is correct. Pallor (pale skin) and jaundice (yellowing of the skin and mucous membranes) are related clinical manifestations of anemia. Jaundice can occur in hemolytic anemias when the breakdown of red blood cells leads to an accumulation of bilirubin.

C) This choice is incorrect because cyanosis, a bluish discoloration of the skin, is not directly related to anemia.

D) This choice is incorrect because diaphoresis, or excessive sweating, is not a typical clinical manifestation of anemia.

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Correct Answer is A

Explanation

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.

A. Iron-deficiency anemia B. Pernicious anemia C. Hemolytic anemia D. Sickle cell anemia

Correct Answer is B

Explanation

A) This choice is incorrect because iron-deficiency anemia is more likely in clients with gastric bypass surgery due to reduced iron absorption, but it is not specific to this surgery.

B) This choice is correct. Pernicious anemia is associated with gastric bypass surgery because the procedure can lead to the loss of intrinsic factor-producing cells in the stomach, which is essential for vitamin B12 absorption.

C) This choice is incorrect because hemolytic anemia is not directly linked to gastric bypass surgery.

D) This choice is incorrect because sickle cell anemia is a genetic disorder and is not related to gastric bypass surgery.

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A client with anemia presents with pallor of the skin and mucous membranes. The nurse should assess for which other related clinical manifestation?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A client with a history of gastric bypass surgery presents with signs of anemia. The nurse should suspect which type of anemia?

Correct Answer is B

Explanation

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?

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