A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?
Slurred speech
Confusion
Pain
Fatigue
The Correct Answer is D
A. Slurred speech - This is not a common symptom of iron deficiency anemia. It might suggest a neurological issue or other condition.
B. Confusion - While severe anemia might lead to confusion due to reduced oxygen delivery to the brain, it is not as common as fatigue and is usually seen in more advanced stages or in combination with other factors.
C. Pain - Pain is not a typical symptom of iron deficiency anemia unless it is related to other conditions like muscle fatigue from overall weakness.
D. Fatigue - Fatigue is a hallmark symptom of iron deficiency anemia due to the decreased ability of the blood to carry oxygen to tissues, leading to overall tiredness and lack of energy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The nurse wears a gown when bathing the client: This is appropriate to prevent contact with the lesions and reduce the risk of spreading the virus.
B. The nurse admits another client who has shingles to the client's double room. Shingles (herpes zoster) is highly contagious, especially for individuals who have never had chickenpox or been vaccinated against it. Cohorting clients with shingles in a shared room is not recommended due to the risk of viral transmission and potential complications.
C. The nurse wears gloves when providing direct care to the client: This is necessary to protect against direct contact with the lesions and prevent the spread of infection.
D. The nurse wears an N95 respirator mask: While not always required, wearing an N95 respirator can be appropriate in certain circumstances to prevent aerosolized transmission, especially in cases of disseminated shingles.
Correct Answer is A
Explanation
A. Avoid crowds - Neutropenic patients are highly susceptible to infections. Crowded places increase the risk of exposure to pathogens.
B. Eat plenty of fresh fruits and vegetables - While generally healthy, fresh fruits and vegetables can harbor bacteria, posing a risk for infection in neutropenic individuals. Cooked or properly washed and peeled produce is safer.
C. Take temperature weekly - Neutropenic patients should monitor their temperature daily, not weekly, to detect infections early.
D. Perform mild exercise, such as gardening - Gardening can expose individuals to soil-borne organisms that could lead to infections. Indoor exercises or those that don’t involve potential pathogen exposure are safer.
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