A nurse is teaching a client who has a new diagnosis of aplastic anemia. Which of the following information should the nurse include in the teaching?
Aplastic anemia results in an inability to absorb vitamin B12.
Aplastic anemia results from decreased bone marrow production of RBCs.
Aplastic anemia results in an increased rate of RBC destruction.
Aplastic anemia is associated with a decreased intake of iron.
The Correct Answer is B
A. Aplastic anemia results in an inability to absorb vitamin B12: This statement is incorrect. Aplastic anemia is not related to the absorption of vitamin B12. It primarily involves a decrease in the production of blood cells by the bone marrow.
B. Aplastic anemia results from decreased bone marrow production of RBCs: This is the correct information. Aplastic anemia is a condition characterized by the failure of the bone marrow to produce an adequate number of blood cells, including red blood cells (RBCs), white blood cells (WBCs), and platelets.
C. Aplastic anemia results in an increased rate of RBC destruction: This statement is incorrect. Aplastic anemia is not associated with an increased rate of RBC destruction. Instead, it is characterized by a reduction in the number of blood cells produced by the bone marrow.
D. Aplastic anemia is associated with a decreased intake of iron: This statement is incorrect. Aplastic anemia is not related to a decreased intake of iron. It is primarily a disorder of bone marrow function leading to insufficient production of blood cells.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Maintaining a semi-Fowler's position as often as possible: While maintaining an elevated position can assist with breathing, it may not directly address the issue of tenacious bronchial secretions. Adequate hydration and other measures are often more effective.
B. Encouraging the client to drink 2 to 3 L of water daily: This is the correct answer. Adequate hydration helps to thin mucus, making it easier to clear from the airways. Drinking 2 to 3 liters of water daily is a helpful strategy to promote hydration and reduce the viscosity of bronchial secretions.
C. Helping the client select a low-salt diet: While a low-salt diet may have cardiovascular benefits, it is not a primary intervention for addressing tenacious bronchial secretions. Hydration and airway clearance techniques are more directly relevant.
D. Administering oxygen via nasal cannula at 2 L/min: While oxygen therapy may be necessary in COPD, it is not the primary intervention for managing tenacious bronchial secretions. Hydration and other measures aimed at thinning mucus are more appropriate.
Correct Answer is A
Explanation
A. Cellular hypoxia: Hemoglobin carries oxygen to the body's tissues. A low hemoglobin level, as well as a low hematocrit, indicates a reduced oxygen-carrying capacity of the blood, putting the client at risk for cellular hypoxia. Symptoms may include fatigue, weakness, and shortness of breath.
B. Prolonged bleeding: Hemoglobin and hematocrit levels are not directly indicative of a risk of prolonged bleeding. Prolonged bleeding is more related to platelet function and clotting factors.
C. Impaired immunity: Hemoglobin and hematocrit levels are not directly indicative of impaired immunity. Immune function is more closely associated with white blood cell count and function.
D. Fluid retention: Hemoglobin and hematocrit levels are not directly associated with fluid retention. Fluid retention is more related to factors such as sodium balance and kidney function.
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