A nurse is reviewing laboratory results for a client with microcytic and hypochromic red blood cells. Which type of anemia does this finding suggest?
Hemolytic anemia
Sickle cell anemia
Thalassemia
Pernicious anemia
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A) This choice is incorrect because an electrocardiogram (ECG) is not a diagnostic test for anemia. It is used to assess heart function.
B) This choice is correct. A complete blood count (CBC) is the primary diagnostic test used to confirm the presence of anemia. It provides information about red blood cell count, hemoglobin levels, hematocrit, and other parameters related to blood cell characteristics.
C) This choice is incorrect because serum creatinine is used to assess kidney function, not to diagnose anemia.
D) This choice is incorrect because a urinalysis is not a diagnostic test for anemia. It is used to assess kidney function and urinary tract health.
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