A nurse is assessing a client diagnosed with anemia. Which of the following statements about anemia is correct?
Anemia is characterized by an increase in red blood cell production.
Anemia is primarily caused by an excess of iron in the body.
Anemia results in a decreased oxygen-carrying capacity of the blood.
Anemia is a viral infection affecting the bone marrow.
The Correct Answer is C
A) This statement is incorrect because anemia is characterized by a decrease in red blood cell production or an abnormal decrease in hemoglobin levels, not an increase in red blood cell production.
B) This statement is incorrect because anemia is caused by a deficiency in iron, not an excess of iron.
C) This statement is correct. Anemia is characterized by a reduced number of red blood cells or a decreased hemoglobin concentration, which leads to a diminished ability of the blood to carry oxygen throughout the body.
D) This statement is incorrect. Anemia is not caused by a viral infection affecting the bone marrow; rather, it is typically caused by nutritional deficiencies, chronic diseases, or blood loss.
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Correct Answer is D
Explanation
A) This choice is incorrect because iron-deficiency anemia is not directly related to chronic inflammatory diseases; it is more commonly associated with blood loss or inadequate iron intake.
B) This choice is incorrect because hemolytic anemia is not specifically linked to chronic inflammatory diseases.
C) This choice is incorrect because aplastic anemia is characterized by bone marrow suppression and is not primarily associated with chronic inflammatory conditions.
D) This choice is correct. Anemia of chronic disease (ACD), also known as anemia of inflammation, is a type of anemia that occurs in the setting of chronic inflammatory diseases. It is typically caused by the body's response to the inflammation, leading to impaired red blood cell production and a shortened red blood cell lifespan.
Correct Answer is D
Explanation
A) This choice is incorrect because iron-deficiency anemia is associated with microcytic and hypochromic red blood cells, not macrocytic and normochromic cells.
B) This choice is incorrect because aplastic anemia typically presents with normocytic and normochromic red blood cells.
C) This choice is incorrect because sickle cell anemia does not cause macrocytic and normochromic red blood cells.
D) This choice is correct. Megaloblastic anemia is characterized by macrocytic (large) and normochromic (normal color) red blood cells, which are the result of impaired DNA synthesis during red blood cell production. This condition is often caused by vitamin B12 or folate deficiency.
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