A nurse is caring for a client with pernicious anemia. Which of the following statements made by the client demonstrates an understanding of the condition?

"I should consume more iron-rich foods in my diet."

"I need to avoid foods high in vitamin C."

"I will need to take lifelong vitamin B12 supplements."

"I should limit my intake of leafy green vegetables."

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because pernicious anemia is not related to iron deficiency, so increasing iron-rich foods will not address the underlying cause.

B) This choice is incorrect because vitamin C actually enhances the absorption of vitamin B12, which is essential in pernicious anemia.

C) This choice is correct. Pernicious anemia is caused by the lack of intrinsic factor, a protein necessary for vitamin B12 absorption. Clients with pernicious anemia will require lifelong vitamin B12 supplementation, often through intramuscular injections.

D) This choice is incorrect. Leafy green vegetables are good sources of folate, which is not directly related to pernicious anemia.

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Correct Answer is C

Explanation

A) This choice is incorrect because polyuria, or increased urination, is not a common symptom of anemia. It may be associated with other conditions like diabetes.

B) This choice is incorrect because increased appetite is not typically associated with anemia. In fact, some clients with anemia may have a reduced appetite due to fatigue and weakness.

C) This choice is correct. Anemia leads to decreased oxygen-carrying capacity of the blood, which can result in shortness of breath, especially during physical exertion.

D) This choice is incorrect because anemia causes fatigue and decreased energy levels, not increased energy levels.

A. Iron deficiency B. Impaired erythropoietin production C. Hemolysis of red blood cells D. Vitamin B12 deficiency

Correct Answer is B

Explanation

A) This choice is incorrect because iron deficiency is one of the causes of anemia, but in chronic kidney disease, impaired erythropoietin production is the primary reason.

B) This choice is correct. Anemia in chronic kidney disease is primarily caused by decreased production of erythropoietin, a hormone produced by the kidneys that stimulates red blood cell production in the bone marrow.

C) This choice is incorrect because hemolysis of red blood cells is not the main cause of anemia in chronic kidney disease.

D) This choice is incorrect because vitamin B12 deficiency is not typically associated with anemia in chronic kidney disease.

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A nurse is caring for a client with pernicious anemia. Which of the following statements made by the client demonstrates an understanding of the condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A client diagnosed with chronic kidney disease is experiencing anemia. A nurse recognizes that this type of anemia is primarily due to:

Correct Answer is B

Explanation

A nurse is caring for a client with a low reticulocyte count. Which type of anemia is most likely to be associated with this finding?

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 client diagnosed with sickle cell anemia is admitted to the hospital during a vaso-occlusive crisis. The nurse understands that which of the following interventions is a priority in managing this crisis?

A nurse is educating a client with anemia about dietary modifications to enhance iron absorption. Which of the following food combinations should the nurse recommend to the client to optimize iron uptake?

A nurse is caring for a client diagnosed with iron-deficiency anemia. The client asks the nurse about dietary changes to improve their condition. Which food item should the nurse recommend to the client to increase their iron intake?

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

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

A client with anemia is experiencing headaches and dizziness. A nurse should suspect which type of anemia?