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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Questions
Correct Answer is D
Explanation
A) This choice is incorrect because tingling sensation and difficulty maintaining balance are not typical symptoms of iron-deficiency anemia.
B) This choice is incorrect because aplastic anemia primarily affects the bone marrow and results in decreased production of all blood cells, not specifically causing tingling sensation or balance issues.
C) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells and is not directly related to neurological symptoms like tingling and balance difficulties.
D) This choice is correct. Vitamin B12 deficiency anemia can cause neurological symptoms, including tingling in the hands and feet (paresthesia) and difficulty maintaining balance due to nerve damage.
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