A nurse is teaching a client who has a new diagnosis of hemolytic anemia. Which of the following information should the nurse include in the teaching?
Hemolytic anemia results in an increased rate of RBC destruction.
Hemolytic anemia results from decreased bone marrow production of RBCs.
Hemolytic anemia is associated with a decreased intake of iron.
Hemolytic anemia results in an inability to absorb vitamin B12.
The Correct Answer is A
A. Hemolytic anemia is characterized by increased RBC destruction, leading to anemia. This destruction may be caused by autoimmune disorders, infections, or inherited conditions like sickle cell disease.
B. Decreased RBC production is more characteristic of aplastic anemia or anemia of chronic disease.
C. Iron deficiency anemia, not hemolytic anemia, results from decreased iron intake.
D. An inability to absorb vitamin B12 is seen in pernicious anemia, not hemolytic anemia.
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Related Questions
Correct Answer is A
Explanation
A. Hemolytic anemia is characterized by increased RBC destruction, leading to anemia. This destruction may be caused by autoimmune disorders, infections, or inherited conditions like sickle cell disease.
B. Decreased RBC production is more characteristic of aplastic anemia or anemia of chronic disease.
C. Iron deficiency anemia, not hemolytic anemia, results from decreased iron intake.
D. An inability to absorb vitamin B12 is seen in pernicious anemia, not hemolytic anemia.
Correct Answer is A
Explanation
A. Oral iron supplementation is helpful for chronic anemia but is not effective for acute blood loss.
B. A hemoglobin of 6.3 g/dL in a hemorrhagic patient requires immediate transfusion of packed red blood cells (PRBCs) to restore oxygen-carrying capacity and prevent shock.
C. Hypovolemia should be managed with isotonic IV fluids (e.g., 0.9% NS or lactated Ringer’s), not hypotonic solutions like 0.45% sodium chloride.
D. Cyanocobalamin (B-12) is used for pernicious anemia but is not relevant for acute blood loss.
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