A nurse is teaching a client with a history of ulcerative colitis and a new diagnosis of anemia. Which of the following symptoms from ulcerative colitis is a contributing factor to the development of anemia?

Dietary iron restrictions

Intestinal parasites

Chronic bloody diarrhea

Intestinal malabsorption syndrome

Answer and Explanation

The Correct Answer is C

A. Dietary iron restrictions may affect iron intake, but they are not a direct symptom of ulcerative colitis that contributes to anemia.

B. Intestinal parasites can cause anemia but are not a common complication associated with ulcerative colitis.

C. Chronic bloody diarrhea is a significant symptom of ulcerative colitis and leads to iron loss and depletion, contributing to the development of anemia due to the loss of blood and iron.

D. Intestinal malabsorption syndrome can lead to anemia; however, it is not a primary symptom of ulcerative colitis itself, making chronic bloody diarrhea the more direct contributing factor.

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Correct Answer is A

Explanation

A. Ensuring the blood is compatible with the client's blood type is critical in preventing an acute hemolytic reaction, as incompatible blood transfusions can cause serious, potentially life-threatening reactions.

B. Administering the transfusion rapidly can increase the risk of complications and does not prevent hemolytic reactions; transfusions should be given at a safe rate based on the client's condition.

C. Using a blood warmer is not a standard intervention to prevent hemolytic reactions; it's typically used in specific cases such as massive transfusions or hypothermia, but it does not address compatibility.

D. Administering prophylactic antihistamines is not a recommended practice to prevent hemolytic reactions; it is more relevant for preventing allergic reactions associated with transfusions.

A. Viral load count B. Western blot C. Enzyme immunoassay (EIA) test D. Platelet count

Correct Answer is A

Explanation

A. Viral load count is the primary test used to assess the effectiveness of HIV therapy by measuring the amount of HIV RNA in the blood, indicating how well the treatment is controlling the virus.

B. The Western blot is used as a confirmatory test for HIV diagnosis rather than monitoring therapy effectiveness.

C. The Enzyme immunoassay (EIA) test is used for initial HIV screening but does not measure viral load or therapy effectiveness.

D. Platelet count can be affected in HIV infection, especially with advanced disease, but it does not directly measure the effectiveness of HIV therapy.

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A nurse is teaching a client with a history of ulcerative colitis and a new diagnosis of anemia. Which of the following symptoms from ulcerative colitis is a contributing factor to the development of anemia?

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Correct Answer is A

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A nurse is teaching a client with a history of ulcerative colitis and a new diagnosis of anemia. Which of the following symptoms from ulcerative colitis is a contributing factor to the development of anemia?