A nurse in a hospital setting is completing an admission assessment on a client with anemia, which assessment is essential?

Age and gender

Health history, including menstrual history in women

Family history

Lifestyle assessments, such as exercise routines

Answer and Explanation

The Correct Answer is B

A. Age and gender: While age and gender can provide some context for the prevalence of anemia (e.g., women of childbearing age are more likely to have iron-deficiency anemia), they are not as essential for understanding the specific cause of anemia as health history.

B. Health history, including menstrual history in women: Health history, particularly menstrual history in women, can provide important clues about potential causes of anemia, such as excessive blood loss during menstruation or other underlying health issues.

C. Family history: Family history can be useful, especially in identifying inherited forms of anemia (e.g., sickle cell anemia or thalassemia), but it is not as immediately critical as assessing the client’s current health and menstrual history.

D. Lifestyle assessments, such as exercise routines: While lifestyle factors can impact overall health, they are not as directly relevant to the cause of anemia as the client’s health history, particularly when evaluating possible blood loss or nutritional deficiencies.

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Correct Answer is A

Explanation

A. Excessive thrombosis and bleeding: DIC is characterized by widespread clotting (thrombosis) in small blood vessels, which consumes clotting factors and platelets, leading to excessive bleeding. This combination of clotting and bleeding is the hallmark of DIC.

B. Immediate sodium and fluid retention: Sodium and fluid retention is not a primary characteristic of DIC. While fluid imbalance can occur due to hypovolemia or organ dysfunction in severe cases, it is not the central feature of DIC.

C. Increased clotting factors: In DIC, clotting factors are consumed rapidly due to widespread clot formation, leading to a decrease in clotting factors rather than an increase.

D. Progressive increase in platelet production: Platelet production is typically decreased in DIC because platelets are used up in the formation of clots. This results in thrombocytopenia (low platelet count), rather than an increase in platelet production.

A. Assess the client's previous experience with the health care system. B. Reassure the client that treatment will be challenging but successful. C. Assess the client's specific needs for education and support. D. Identify the client's plan of medical care.

Correct Answer is C

Explanation

A. Assess the client's previous experience with the health care system: While understanding the client's past experiences can be helpful, the priority is to assess the immediate emotional and informational needs of the client who is newly diagnosed with acute lymphocytic leukemia.

B. Reassure the client that treatment will be challenging but successful: While offering reassurance is important, it may not be appropriate to provide such definitive reassurance until the client has more information about their treatment options and prognosis.

C. Assess the client's specific needs for education and support: By assessing the client’s specific needs for education, emotional support, and understanding of the treatment plan, the nurse can provide personalized care and resources to help the client cope with their diagnosis.

D. Identify the client's plan of medical care: While understanding the treatment plan is important, this should come after addressing the client’s immediate psychosocial needs. The nurse’s role is to first provide emotional support and education about the disease and treatment options.

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A nurse in a hospital setting is completing an admission assessment on a client with anemia, which assessment is essential?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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