A client with suspected iron-deficiency anemia is undergoing diagnostic evaluation.
The nurse observes that the client has pallor and spoon-shaped nails.
Which additional clinical manifestation should the nurse expect to assess in this client?
Restless legs syndrome.
High transferrin saturation.
Normal white blood cell count.
Elevated serum iron levels.
The Correct Answer is B
Choice A rationale:
Restless legs syndrome is not typically associated with iron-deficiency anemia.
The hallmark clinical manifestations of iron-deficiency anemia include pallor, spoon-shaped nails (koilonychia), fatigue, weakness, and cold intolerance.
Restless legs syndrome is characterized by uncomfortable sensations in the legs and an irresistible urge to move them, which is unrelated to iron-deficiency anemia.
Choice B rationale:
High transferrin saturation is not an expected clinical manifestation of iron-deficiency anemia.
In fact, iron-deficiency anemia is characterized by a decrease in transferrin saturation.
Transferrin saturation is a measure of the iron-carrying capacity of transferrin in the blood.
In iron-deficiency anemia, the body struggles to adequately transport iron, leading to low transferrin saturation.
Choice C rationale:
Normal white blood cell count is not a typical clinical manifestation of iron-deficiency anemia.
Iron-deficiency anemia primarily affects red blood cells and their ability to carry oxygen.
While anemia may lead to fatigue and weakness, it does not directly impact white blood cell counts.
Choice D rationale:
Elevated serum iron levels are not expected in iron-deficiency anemia.
In fact, iron-deficiency anemia is characterized by low serum iron levels due to insufficient iron stores in the body.
Elevated serum iron levels may be seen in other types of anemia or conditions, but they are not a hallmark of iron-deficiency anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale:
Administering blood transfusions as prescribed.
Administering blood transfusions is not typically the first-line treatment for iron-deficiency anemia.
Blood transfusions are usually reserved for severe cases of anemia or when other treatments have failed.
Iron replacement therapy is the primary treatment for iron-deficiency anemia.
Choice B rationale:
Monitoring the patient's response to erythropoiesis-stimulating agents (ESAs)
Monitoring the patient's response to ESAs is appropriate because ESAs stimulate the production of red blood cells and can be used in the treatment of anemia, especially in chronic kidney disease patients.
However, ESAs are not the primary treatment for iron-deficiency anemia, so this choice is not the only appropriate intervention.
Choice C rationale:
Educating the patient about the causes, symptoms, and complications of sickle cell anemia.
Educating the patient about sickle cell anemia is not relevant to the care of a patient with iron-deficiency anemia.
Iron-deficiency anemia and sickle cell anemia are two distinct conditions with different causes, symptoms, and treatments.
Choice D rationale:
Encouraging the patient to eat a balanced diet rich in iron.
Encouraging the patient to eat a balanced diet rich in iron is an appropriate nursing intervention for a patient with iron-deficiency anemia.
Iron-rich foods can help replenish the body's iron stores and support the treatment of anemia.
Choice E rationale:
Providing emotional support and counseling to the patient and family members.
Providing emotional support and counseling is an important aspect of nursing care for any patient, including those with iron-deficiency anemia.
Dealing with a chronic condition can be emotionally challenging for patients and their families.
Emotional support can help improve the patient's overall well-being and compliance with treatment.
Correct Answer is ["A","D"]
Explanation
Choice A rationale:
Microcytic anemia is characterized by red blood cells (RBCs) that are smaller than normal.
This can occur in conditions like iron-deficiency anemia and thalassemia, where there is impaired hemoglobin production or insufficient iron for RBC formation.
Choice B rationale:
Normocytic anemia is characterized by RBCs that are of normal size.
This can occur in various conditions, including chronic diseases like chronic kidney disease and some types of anemia of chronic inflammation.
Choice C rationale:
Macrocytic anemia is characterized by RBCs that are larger than normal.
This can be seen in conditions like megaloblastic anemia, which is often caused by vitamin B12 or folate deficiency.
Choice D rationale:
Anisocytosis refers to a condition where RBCs are of unequal sizes.
While it is not a specific type of anemia, anisocytosis can be seen in various types of anemia, including iron-deficiency anemia, as RBCs may vary in size due to different stages of development.
Choice E rationale:
Poikilocytosis refers to a condition where RBCs have abnormal shapes.
Like anisocytosis, poikilocytosis is not a specific type of anemia but can be observed in various anemias, including sickle cell anemia, where RBCs take on a characteristic crescent shape.
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