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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A) This choice is incorrect because petechiae, which are tiny red or purple spots on the skin, are associated with platelet disorders and not directly related to anemia.

B) This choice is correct. Pallor (pale skin) and jaundice (yellowing of the skin and mucous membranes) are related clinical manifestations of anemia. Jaundice can occur in hemolytic anemias when the breakdown of red blood cells leads to an accumulation of bilirubin.

C) This choice is incorrect because cyanosis, a bluish discoloration of the skin, is not directly related to anemia.

D) This choice is incorrect because diaphoresis, or excessive sweating, is not a typical clinical manifestation of anemia.

A. Folate-deficiency anemia B. Hemolytic anemia C. Sickle cell anemia D. Macrocytic anemia

Correct Answer is D

Explanation

A) This choice is incorrect because folate-deficiency anemia is associated with a deficiency of folic acid, often caused by poor dietary intake or malabsorption, but not specifically linked to alcoholism.

B) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells and is not directly related to alcoholism.

C) This choice is incorrect because sickle cell anemia is a genetic disorder and is not caused by alcohol consumption.

D) This choice is correct. Macrocytic anemia is commonly associated with alcoholism due to the direct toxic effects of alcohol on bone marrow, resulting in the production of larger-than-normal red blood cells (macrocytes).

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A nurse is assessing a client with anemia, and the client reports a history of chronic alcoholism. Which type of anemia is most likely to be associated with alcoholism?

Correct Answer is D

Explanation

A nurse is caring for a client with anemia who is experiencing fatigue and weakness. The nurse should recommend which activity to conserve energy and manage the symptoms?

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?

A client with anemia is prescribed ferrous sulfate, an oral iron supplement. The nurse advises the client to take the medication at least one hour before or two hours after meals. What should the nurse inform the client about this timing?

A client with anemia is receiving packed red blood cell (PRBC) transfusions. The nurse should prioritize which action during the transfusion process?

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 caring for a client with anemia. Which diagnostic test should the nurse anticipate to determine the cause of the anemia and assess the size and shape of the red blood cells?

A client presents with fatigue, weakness, and a red, sore tongue. A nurse suspects the client may have a specific type of anemia. Which type is most likely based on these findings?

A client with anemia is undergoing a Schilling test to determine the cause of the condition. The nurse should recognize that this test is used to diagnose which type of anemia?