An RN is reviewing diagnostic tests for different types of anemia with a student nurse. Which of the following does the student correctly state is used for the diagnosis of types of anemia? (Select all that apply).
Enzyme-linked Immunosorbent assay (ELISA)
Schilling Test
Hemoglobin electrophoresis
Western Blot
Ferritin and Total Iron-Binding Capacity
Correct Answer : B,C,D
A. ELISA – Used for detecting infections or immune conditions but is not specific for anemia.
B. Schilling Test – Used to diagnose vitamin B12 deficiency and pernicious anemia.
C. Hemoglobin Electrophoresis – Used to diagnose sickle cell anemia and thalassemias by identifying abnormal hemoglobin variants.
D. Western Blot – Used to confirm infections like HIV, not to diagnose anemia.
E. Ferritin and Total Iron-Binding Capacity (TIBC) – Help assess iron status and diagnose iron deficiency anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Collecting saliva samples does not pose a high risk, as HIV is not transmitted through saliva.
B. Occupational therapists generally do not have exposure to body fluids in a way that increases HIV risk.
C. Personal trainers do not have exposure to clients’ blood or body fluids in a way that increases transmission risk.
D. A phlebotomist handling blood samples has the highest risk of occupational exposure to HIV, particularly through needlestick injuries or improper handling of blood specimens.
Correct Answer is D
Explanation
A. Pneumococcal pneumonia is a bacterial lung infection, not a cancerous lesion.
B. Toxic epidermal necrosis is a severe drug reaction with widespread skin detachment, not related to AIDS.
C. Wasting syndrome is characterized by severe weight loss and muscle wasting but does not present with skin lesions.
D. Kaposi’s sarcoma is an AIDS-related malignancy that presents as purplish-brown skin or mucosal lesions. It is caused by human herpesvirus 8 (HHV-8) and is more common in clients with low CD4+ counts.
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