A nurse is planning care for a client with pernicious anemia. Which intervention should the nurse plan to implement?

Blood transfusions

Daily hydroxyurea

Iron supplements

Vitamin B injections

Answer and Explanation

The Correct Answer is D

A. Blood transfusions are not a primary treatment for pernicious anemia; they may be used in severe cases but do not address the underlying cause of the condition, which is vitamin B12 deficiency.

B. Daily hydroxyurea is primarily used to treat certain types of cancer and sickle cell disease, not pernicious anemia.

C. Iron supplements are not effective in treating pernicious anemia, as the condition is due to a deficiency of vitamin B12, not iron.

D. Vitamin B injections are the correct intervention for pernicious anemia because the condition results from an inability to absorb vitamin B12 due to a lack of intrinsic factor, making injections necessary to restore vitamin levels.

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Correct Answer is B

Explanation

A. Diarrhea is not a typical finding associated with anemia from blood loss; it may occur for other reasons but is not directly related to low hemoglobin levels.

B. Fatigue is a common symptom in clients with anemia, particularly when hemoglobin levels are low, as there is reduced oxygen delivery to tissues, leading to feelings of weakness and tiredness.

C. Hypertension is unlikely to be present in a client with significant blood loss; instead, hypotension may be more expected due to reduced blood volume.

D. Bradycardia is not typically associated with anemia; in fact, tachycardia (increased heart rate) is more common as the body tries to compensate for reduced oxygen-carrying capacity.

A. Positive Western blot test B. CD4-T-cell count 180 cells/mm³ (Range: 500 to 1500 cells/mm³) C. Platelets 150,000/mm³ (Range: 150,000-400,000 cells/mm³) D. WBC 5,000/mm³ (Range: 5,000-10,000 cells/mm³)

Correct Answer is B

Explanation

A. A positive Western blot test indicates an HIV diagnosis, which is expected in a client with HIV and does not require urgent intervention.

B. A CD4-T-cell count of 180 cells/mm³ is significantly low (normal range: 500 to 1500 cells/mm³) and indicates severe immunosuppression, putting the client at increased risk for opportunistic infections, warranting immediate attention from the provider.

C. A platelet count of 150,000/mm³ is at the lower end of the normal range and does not typically require immediate intervention unless there are clinical symptoms associated.

D. A WBC count of 5,000/mm³ is within the normal range and does not indicate a need for urgent intervention.

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A nurse is planning care for a client with pernicious anemia. Which intervention should the nurse plan to implement?

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