A nurse is assessing a client diagnosed with anemia related to gastrointestinal (61) bleeding. Which prescription would the nurse expect at discharge?
Warfarin
Vitamin D supplements
Iron supplements
Zidovudine
The Correct Answer is C
A. Warfarin is an anticoagulant and could worsen bleeding; it is contraindicated in GI bleeding cases.
B. Vitamin D is essential for bone health but does not directly treat anemia.
C. Iron supplements are commonly prescribed for anemia due to GI bleeding because chronic blood loss leads to iron deficiency. Iron supplementation helps replenish iron stores necessary for RBC production.
D. Zidovudine is an antiretroviral medication used for HIV treatment and is unrelated to anemia from GI bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hemolytic anemia is characterized by increased RBC destruction, leading to anemia. This destruction may be caused by autoimmune disorders, infections, or inherited conditions like sickle cell disease.
B. Decreased RBC production is more characteristic of aplastic anemia or anemia of chronic disease.
C. Iron deficiency anemia, not hemolytic anemia, results from decreased iron intake.
D. An inability to absorb vitamin B12 is seen in pernicious anemia, not hemolytic anemia.
Correct Answer is B
Explanation
A. An "undetectable" viral load means the risk of HIV transmission is significantly reduced ("Undetectable = Untransmittable" or U=U), though precautions should still be followed.
B. Clients with a low CD4+ count (<200 cells/µL) are at increased risk for opportunistic infections. Encouraging a healthy lifestyle and infection prevention helps maintain immune function.
C. Antibiotic prophylaxis is considered for clients with CD4+ counts <200 cells/µL, but it does not prevent viral load elevation.
D. There is no cure for HIV; lifelong ART is required to maintain viral suppression.
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