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.

Vegetarian diet

Chronic kidney disease

Excessive red blood cell destruction

Gastrointestinal bleeding

Answer and Explanation

Correct Answer : A,D

A) This choice is correct. A vegetarian diet, especially if not well-balanced and lacking in iron-rich foods, can lead to iron-deficiency anemia.

B) This choice is incorrect. Chronic kidney disease is more likely to cause anemia due to impaired erythropoietin production rather than directly causing iron deficiency.

C) This choice is incorrect. Excessive red blood cell destruction is associated with hemolytic anemia, not iron-deficiency anemia.

D) This choice is correct. Gastrointestinal bleeding, such as from peptic ulcers or inflammatory bowel disease, can lead to chronic blood loss and iron-deficiency anemia.

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Correct Answer is A

Explanation

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.

A. With meals B. On an empty stomach C. At bedtime D. Simultaneously with calcium supplements

Correct Answer is B

Explanation

A. With meals
Taking ferrous sulfate with meals may reduce its absorption because food, particularly dairy products and certain medications, can interfere with iron absorption.

B. On an empty stomach
Ferrous sulfate is best absorbed on an empty stomach, as food can inhibit iron absorption. However, if gastrointestinal irritation occurs, it may be taken with a small amount of food.

C. At bedtime
Taking iron supplements at bedtime is not ideal because it can cause gastrointestinal discomfort, which may interfere with sleep.

D. Simultaneously with calcium supplements
Calcium supplements can interfere with the absorption of iron, so they should not be taken at the same time as ferrous sulfate. It is recommended to space them out by at least 2 hours.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A client with anemia is prescribed ferrous sulfate supplements. A nurse should instruct the client to take the supplement:

Correct Answer is B

Explanation

A client with anemia is undergoing diagnostic evaluation. The nurse anticipates that which laboratory test will be ordered to assess the body's iron stores?

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