A nurse is assessing a patient with iron-deficiency anemia.
Which components should be included in the nursing assessment for this patient?
Review of the results of the CBC with differential and peripheral blood smear.
Monitoring the patient's vital signs and oxygen saturation.
Administering iron supplements as prescribed.
Providing emotional support and counseling to the patient and family members.
Correct Answer : A,B,D
Choice A rationale:
Review of the results of the CBC (Complete Blood Count) with differential and peripheral blood smear is essential in assessing a patient with iron-deficiency anemia.
The CBC provides information about hemoglobin levels, hematocrit, mean corpuscular volume (MCV), and red blood cell indices, which are crucial in diagnosing and monitoring anemia.
A peripheral blood smear can help identify the characteristic microcytic and hypochromic red blood cells seen in iron-deficiency anemia.
Choice B rationale:
Monitoring the patient's vital signs and oxygen saturation is essential in the assessment of a patient with iron-deficiency anemia.
Anemia can lead to reduced oxygen-carrying capacity in the blood, potentially causing symptoms such as shortness of breath and tachycardia.
Monitoring vital signs and oxygen saturation helps assess the patient's response to anemia and the need for oxygen supplementation.
Choice C rationale:
Administering iron supplements as prescribed is a nursing intervention rather than a component of the nursing assessment.
While it is important for the management of iron-deficiency anemia, the assessment phase involves gathering data about the patient's condition, not implementing interventions.
Choice D rationale:
Providing emotional support and counseling to the patient and family members is a crucial component of nursing care for patients with iron-deficiency anemia.
Anemia can have a significant impact on a patient's quality of life, causing fatigue, weakness, and emotional distress.
Offering emotional support and education to the patient and family members helps them cope with the condition and its management.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Taking iron supplements with dairy products is not recommended for optimal iron absorption.
Calcium, present in dairy products, can inhibit the absorption of iron.
Therefore, it is best to take iron supplements separately from dairy products.
Choice B rationale:
Taking iron supplements on an empty stomach is the correct recommendation.
Iron absorption is enhanced when the supplements are taken on an empty stomach.
However, some individuals may experience gastrointestinal discomfort when taking iron on an empty stomach.
In such cases, it can be taken with a small amount of food that does not contain dairy products or high in calcium.
Choice C rationale:
Taking iron supplements with antacids is not recommended to reduce gastrointestinal side effects.
Antacids containing calcium can interfere with iron absorption, potentially worsening the anemia.
Therefore, it is best to avoid taking iron supplements with antacids.
Choice D rationale:
Taking iron supplements with a large meal is not the most effective way to improve their effectiveness.
In fact, taking iron supplements with a large meal can decrease iron absorption due to competition with other nutrients.
It is generally recommended to take iron supplements on an empty stomach or with a small, iron-friendly snack if gastrointestinal discomfort occurs.
Correct Answer is C
Explanation
Choice A rationale:
Administering iron supplements as prescribed.
Administering iron supplements is the primary treatment for iron-deficiency anemia.
However, in severe cases of anemia where the patient is symptomatic or unresponsive to iron supplements, blood transfusions may be necessary.
Choice B rationale:
Administering erythropoiesis-stimulating agents (ESAs)
ESAs can be used in the treatment of anemia, especially in chronic kidney disease patients, but they are not typically the first-line treatment for iron-deficiency anemia.
Iron replacement therapy is the primary approach to managing this condition.
Choice C rationale:
Administering blood transfusions as prescribed.
Administering blood transfusions is the correct choice for severe cases of iron-deficiency anemia that do not respond to iron supplements.
Blood transfusions can quickly increase the patient's red blood cell count and alleviate symptoms.
Choice D rationale:
Encouraging the patient to eat a balanced diet rich in iron.
Encouraging a balanced diet is important for preventing and managing iron-deficiency anemia, but it is not typically reserved for severe or symptomatic cases that do not respond to iron supplements.
In such cases, more immediate interventions like blood transfusions may be necessary.
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