A female client with iron-deficiency anemia is experiencing increased fatigue and a shiny red tongue. The nurse would anticipate seeing which additional assessment finding(s) (SELECT ALL THAT APPLY)

Bottle spoon-shaped finger nails

Platelets 400.000/0

Rea blood cell count 4.5 million/mm3

Hemoglobin 8.0 g/di

Tachypnea

Answer and Explanation

Correct Answer : A,D,E

A. Bottle spoon-shaped fingernails: This is a classic sign associated with iron deficiency anemia, known as koilonychia. The nails may appear thin, brittle, and spoon-shaped, indicating a deficiency in iron.

B. Platelets 400,000/µL: This platelet count is within the normal range (typically 150,000 to 450,000/µL) and does not specifically indicate iron deficiency anemia. Thus, it is not an expected finding.

C. Red blood cell count 4.5 million/mm³: This value is within the normal range for females (approximately 4.2 to 5.4 million/mm³). In iron deficiency anemia, one would expect the RBC count to be low or at least on the lower end of normal.

D. Hemoglobin 8.0 g/dL: This low hemoglobin level is indicative of anemia. In iron deficiency anemia, hemoglobin levels are often significantly decreased, so this finding aligns with the client's condition.

E. Tachypnea: Increased respiratory rate can occur in response to anemia, as the body attempts to compensate for decreased oxygen-carrying capacity by increasing breathing rate. Therefore, tachypnea is a likely finding in this client.

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Correct Answer is B

Explanation

A) "You can take 81 mg of enteric coated aspirin with orange juice at lunch time": While enteric-coated aspirin can help reduce gastrointestinal irritation, taking it with orange juice is not advisable. Citrus can increase gastric acidity, which might irritate the GI tract further, especially in a patient with a history of GI bleeding.

B) "Take the aspirin with a glass of milk or food in the morning": This instruction is appropriate as taking aspirin with food or milk can help minimize gastrointestinal irritation and promote safer use, especially in a client with iron deficiency anemia from a GI bleed. It also helps with absorption and can reduce the risk of an upset stomach.

C) "Take a baby aspirin with a full glass of cold water at bedtime": Taking aspirin with only water, particularly at bedtime, may increase the risk of gastric irritation and does not provide the protective effect that food or milk would. This is not the best practice for someone with a history of GI issues.

D) "It's ok to take the aspirin with some ginseng tea in the evening": Ginseng can interact with blood-thinning medications and may increase bleeding risk. Advising the client to combine aspirin with ginseng tea could be harmful, especially given their history of GI bleeding. This is not a safe or appropriate recommendation.

A. Beets B. Seafood C. Eggs D. Bran

Correct Answer is B

Explanation

A) Beets: While beets are nutritious and contain some iron, they are not the best source of iron for someone with iron-deficiency anemia. They are more known for their folate content.

B) Seafood: Seafood, particularly shellfish like clams, oysters, and mussels, is an excellent source of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based foods. Including seafood in the diet can help improve iron levels.

C) Eggs: Eggs contain some iron, but they also contain substances that can inhibit iron absorption. While they can be part of a balanced diet, they are not the most effective food for increasing iron intake.

D) Bran: Bran is high in fiber and can be beneficial for digestive health, but it contains phytates that can inhibit iron absorption. It is not recommended as a primary source of iron for someone with iron-deficiency anemia.

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A female client with iron-deficiency anemia is experiencing increased fatigue and a shiny red tongue. The nurse would anticipate seeing which additional assessment finding(s) (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client diagnosed with iron deficiency anemia as the result of a gastrointestinal (GI) bleed. What discharge instruction should the nurse provide if this client is also prescribed aspirin 81 mg daily?

Correct Answer is B

Explanation

When developing a plan of care for the client diagnosed with iron-deficiency anemia, the nurse would encourage intake of which foods?

Correct Answer is B

Explanation

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