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. 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.
Correct Answer is C
Explanation
A) This choice is incorrect because polyuria, or increased urination, is not a common symptom of anemia. It may be associated with other conditions like diabetes.
B) This choice is incorrect because increased appetite is not typically associated with anemia. In fact, some clients with anemia may have a reduced appetite due to fatigue and weakness.
C) This choice is correct. Anemia leads to decreased oxygen-carrying capacity of the blood, which can result in shortness of breath, especially during physical exertion.
D) This choice is incorrect because anemia causes fatigue and decreased energy levels, not increased energy levels.
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