A nurse is caring for a client with anemia, and the laboratory results show an increased number of target cells on the peripheral blood smear. Which type of anemia is most likely to be associated with this finding?

Iron-deficiency anemia

Hemolytic anemia

Sickle cell anemia

Aplastic anemia

Answer and Explanation

The Correct Answer is A

A) This choice is correct. Iron-deficiency anemia may present with an increased number of target cells on the peripheral blood smear, which are red blood cells with a central area of pallor and a surrounding ring of hemoglobin. This appearance is due to a reduced hemoglobin content in relation to cell size.

B) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells and typically presents with different morphological changes on the peripheral blood smear.

C) This choice is incorrect because sickle cell anemia is associated with the presence of sickle-shaped cells, not target cells.

D) This choice is incorrect because aplastic anemia is characterized by a decrease in the number of all formed elements of the blood (red blood cells, white blood cells, and platelets), and it does not typically cause target cells.

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Correct Answer is A

Explanation

A) This choice is correct. Folate-deficiency anemia can present with fatigue, weakness, and glossitis (inflammation of the tongue), leading to a red, sore tongue.

B) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells, and it does not specifically cause a red, sore tongue.

C) This choice is incorrect because sickle cell anemia primarily causes vaso-occlusive crises and pain, not symptoms related to the tongue.

D) This choice is incorrect because iron-deficiency anemia does not cause glossitis; however, it may present with fatigue and weakness.

A. Petechiae B. Jaundice C. Cyanosis D. Diaphoresis

Correct Answer is B

Explanation

A) This choice is incorrect because petechiae, which are tiny red or purple spots on the skin, are associated with platelet disorders and not directly related to anemia.

B) This choice is correct. Pallor (pale skin) and jaundice (yellowing of the skin and mucous membranes) are related clinical manifestations of anemia. Jaundice can occur in hemolytic anemias when the breakdown of red blood cells leads to an accumulation of bilirubin.

C) This choice is incorrect because cyanosis, a bluish discoloration of the skin, is not directly related to anemia.

D) This choice is incorrect because diaphoresis, or excessive sweating, is not a typical clinical manifestation of anemia.

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A nurse is caring for a client with anemia, and the laboratory results show an increased number of target cells on the peripheral blood smear. Which type of anemia is most likely to be associated with this finding?

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Naxlex Comprehensive Predictor Exams

A client presents with fatigue, weakness, and a red, sore tongue. A nurse suspects the client may have a specific type of anemia. Which type is most likely based on these findings?

Correct Answer is A

Explanation

A client with anemia presents with pallor of the skin and mucous membranes. The nurse should assess for which other related clinical manifestation?

Correct Answer is B

Explanation

A nurse is assessing a client diagnosed with anemia. Which of the following statements about anemia is correct?

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A nurse is caring for a client with anemia, and the laboratory results show an increased number of target cells on the peripheral blood smear. Which type of anemia is most likely to be associated with this finding?