A nurse is caring for a client with megaloblastic anemia. Which vitamin deficiency is most likely responsible for this condition?

Vitamin A

Vitamin B12

Vitamin C

Vitamin D

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because vitamin A deficiency does not cause megaloblastic anemia.

B) This choice is correct because megaloblastic anemia is typically caused by a deficiency of vitamin B12 or folic acid, which are essential for normal red blood cell production.

C) This choice is incorrect because vitamin C deficiency leads to scurvy, a condition unrelated to megaloblastic anemia.

D) This choice is incorrect because vitamin D deficiency can lead to conditions like rickets, but it does not cause megaloblastic anemia.

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Correct Answer is A

Explanation

A) This choice is correct. Taking the iron supplement with meals may reduce gastrointestinal side effects, such as nausea and stomach upset, which are common with iron supplementation.

B) This choice is incorrect because taking iron supplements with meals may reduce iron absorption due to interference with other dietary components.

C) This choice is incorrect because taking the supplement with meals does not directly improve its effectiveness in treating anemia.

D) This choice is incorrect because interactions with other medications are not specifically related to the timing of iron supplementation with meals.

A. Hemolytic anemia B. Sickle cell anemia C. Thalassemia D. Pernicious anemia

Correct Answer is C

Explanation

A) This choice is incorrect because hemolytic anemia typically presents with normocytic and normochromic red blood cells, as the bone marrow compensates by releasing immature red blood cells.

B) This choice is incorrect because sickle cell anemia is characterized by the presence of sickle-shaped red blood cells and is not associated with microcytic and hypochromic cells.

C) This choice is correct. Thalassemia is a type of anemia in which the synthesis of globin chains is impaired, leading to microcytic and hypochromic red blood cells.

D) This choice is incorrect because pernicious anemia is associated with macrocytic and normochromic red blood cells due to vitamin B12 deficiency.

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A nurse is caring for a client with megaloblastic anemia. Which vitamin deficiency is most likely responsible for this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with anemia is prescribed ferrous sulfate, an oral iron supplement. The nurse advises the client to take the medication at least one hour before or two hours after meals. What should the nurse inform the client about this timing?

Correct Answer is A

Explanation

A nurse is reviewing laboratory results for a client with microcytic and hypochromic red blood cells. Which type of anemia does this finding suggest?

Correct Answer is C

Explanation

A nurse is teaching a client with iron-deficiency anemia about dietary sources of iron. Which food items should the nurse recommend? Select all that apply.

A client with anemia is undergoing a Schilling test to determine the cause of the condition. The nurse should recognize that this test is used to diagnose which type of anemia?

A nurse is assessing a client with anemia. Which of the following symptoms is most commonly associated with anemia?

A nurse is caring for a client with anemia who is experiencing fatigue and weakness. The nurse should recommend which activity to conserve energy and manage the symptoms?

A client with anemia is receiving erythropoiesis-stimulating agents (ESAs) to promote red blood cell production. The nurse should monitor the client for which adverse effect related to ESA therapy?

A nurse is providing education to a client diagnosed with iron-deficiency anemia. Which of the following factors could contribute to the development of this condition? Select all that apply.

A nurse is caring for a client with anemia, and the client has a history of chronic inflammatory diseases such as rheumatoid arthritis. Which of the following types of anemia is most likely to be associated with chronic inflammatory conditions?

A client is diagnosed with anemia, and laboratory results show macrocytic and normochromic red blood cells. A nurse suspects a specific type of anemia based on these findings. Which type is most likely to be associated with this result?