A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse review?
Platelet count.
Liver enzymes.
Complete blood count.
Serum electrolytes.
The Correct Answer is C
Choice A reason: Platelet count is important for clotting but does not directly address the cause of fatigue in pernicious anemia.
Choice B reason: Liver enzymes are important for liver function but are not related to pernicious anemia.
Choice C reason:
The correct answer is c) because a complete blood count (CBC) provides information about hemoglobin and hematocrit levels, which are directly impacted by pernicious anemia and can explain the fatigue.
Choice D reason: Serum electrolytes are important but do not directly address the cause of fatigue in pernicious anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Avoiding driving is important but not the most critical instruction.
Choice B reason:
The correct answer is b) because drinking plenty of water helps flush the bladder, reduce the risk of infection, and prevent blood clots.
Choice C reason: Eliminating spicy foods may help with overall comfort but is not as important as maintaining proper hydration.
Choice D reason: Clamping the catheter during a shower is not necessary and could cause complications.
Correct Answer is B
Explanation
Choice A reason: While being fair-skinned and older increases risk, exposure to UV radiation is a significant factor.
Choice B reason:
The correct answer is b) because a fair-skinned client who works outdoors (construction worker) has higher exposure to UV radiation, increasing the risk of skin cancer.
Choice C reason: Having a family history of skin cancer is a risk factor, but dark-skinned individuals have lower risk compared to fair-skinned individuals with high UV exposure.
Choice D reason: Tanning bed use increases risk, but fair-skinned individuals with prolonged UV exposure have a higher overall risk.
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