Blood loss is a major cause of iron deficiency in adults. Some sources of chronic blood loss in adults are all except:

Gastrointestinal bleeding

Peptic ulcers

Loss of intrinsic factor

Genitourinary bleeding

Answer and Explanation

The Correct Answer is C

A.   Gastrointestinal bleeding is a common source of chronic blood loss leading to iron deficiency anemia.
B.   Peptic ulcers can cause chronic gastrointestinal bleeding, contributing to iron deficiency.
C.   Loss of intrinsic factor leads to vitamin B12 deficiency and pernicious anemia, not iron deficiency.
D.   Genitourinary bleeding is another potential source of chronic blood loss that can result in iron deficiency anemia.

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Correct Answer is ["C","D"]

Explanation

A. The patient experiences a decrease in hemoglobin S. Hydroxyurea does not decrease hemoglobin S levels directly; it works by increasing fetal hemoglobin (Hgb F) levels.
B. The patient experiences dehydration due to diuresis. This is not an indication that Hydroxyurea is working; it is a potential side effect that should be monitored.
C. The patient experiences an increase in fetal hemoglobin (Hbg F). Hydroxyurea works by increasing the levels of fetal hemoglobin, which reduces the sickling of red blood cells.
D. The patient needs fewer blood transfusions. Successful treatment with Hydroxyurea should reduce the frequency of vaso-occlusive crises and the need for blood transfusions.
E. The patient experiences diuresis. This is not an indicator of the medication's effectiveness; it is a potential side effect.

A. The client's tongue is white. B. The client is nauseated. C. The client is jaundiced. D. The client is short of breath. E. The client reports feeling pain.

Correct Answer is ["C","E"]

Explanation

A. The client's tongue being white is not typically associated with sickle cell crisis but may indicate other issues such as oral thrush.
B. Nausea can be a symptom associated with many conditions and is not specific to sickle cell crisis.
C. Jaundice is a common manifestation of sickle cell crisis due to hemolysis of red blood cells, leading to an increase in bilirubin levels.
D. Shortness of breath may occur in sickle cell crisis if there is severe anemia or if the crisis is complicated by acute chest syndrome, but it is not a defining characteristic.
E. Pain is a hallmark symptom of sickle cell crisis, occurring due to vaso-occlusion and tissue ischemia resulting from the sickling of red blood cells.

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Blood loss is a major cause of iron deficiency in adults. Some sources of chronic blood loss in adults are all except:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An 18-year-old male is taking Hydroxyurea for treatment of sickle cell anemia. Which options below indicate this medication is working successfully?

Correct Answer is ["C","D"]

Explanation

A 30-year-old who is experiencing sickle cell crisis is admitted to the hospital. During the admission assessment, which findings can the nurse attribute to the client's blood disorder?

Correct Answer is ["C","E"]

Explanation

Which of the following are common manifestations of a sickle cell crisis? (Select all that apply)

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