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(Select all that apply):
A nurse is caring for a patient with iron-deficiency anemia.
Which nursing interventions are appropriate for this patient? Select all that apply.

Administering blood transfusions as prescribed.

Monitoring the patient's response to erythropoiesis-stimulating agents (ESAs)

Educating the patient about the causes, symptoms, and complications of sickle cell anemia.

Encouraging the patient to eat a balanced diet rich in iron.

Providing emotional support and counseling to the patient and family members.

Answer and Explanation

Correct Answer : B,D,E

Choice A rationale:

Administering blood transfusions as prescribed.

Administering blood transfusions is not typically the first-line treatment for iron-deficiency anemia.

Blood transfusions are usually reserved for severe cases of anemia or when other treatments have failed.

Iron replacement therapy is the primary treatment for iron-deficiency anemia.

Choice B rationale:

Monitoring the patient's response to erythropoiesis-stimulating agents (ESAs)

Monitoring the patient's response to ESAs is appropriate because ESAs stimulate the production of red blood cells and can be used in the treatment of anemia, especially in chronic kidney disease patients.

However, ESAs are not the primary treatment for iron-deficiency anemia, so this choice is not the only appropriate intervention.

Choice C rationale:

Educating the patient about the causes, symptoms, and complications of sickle cell anemia.

Educating the patient about sickle cell anemia is not relevant to the care of a patient with iron-deficiency anemia.

Iron-deficiency anemia and sickle cell anemia are two distinct conditions with different causes, symptoms, and treatments.

Choice D rationale:

Encouraging the patient to eat a balanced diet rich in iron.

Encouraging the patient to eat a balanced diet rich in iron is an appropriate nursing intervention for a patient with iron-deficiency anemia.

Iron-rich foods can help replenish the body's iron stores and support the treatment of anemia.

Choice E rationale:

Providing emotional support and counseling to the patient and family members.

Providing emotional support and counseling is an important aspect of nursing care for any patient, including those with iron-deficiency anemia.

Dealing with a chronic condition can be emotionally challenging for patients and their families.

Emotional support can help improve the patient's overall well-being and compliance with treatment.

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Correct Answer is B

Explanation

Choice A rationale:

Restless legs syndrome is not typically associated with iron-deficiency anemia.

The hallmark clinical manifestations of iron-deficiency anemia include pallor, spoon-shaped nails (koilonychia), fatigue, weakness, and cold intolerance.

Restless legs syndrome is characterized by uncomfortable sensations in the legs and an irresistible urge to move them, which is unrelated to iron-deficiency anemia.

Choice B rationale:

High transferrin saturation is not an expected clinical manifestation of iron-deficiency anemia.

In fact, iron-deficiency anemia is characterized by a decrease in transferrin saturation.

Transferrin saturation is a measure of the iron-carrying capacity of transferrin in the blood.

In iron-deficiency anemia, the body struggles to adequately transport iron, leading to low transferrin saturation.

Choice C rationale:

Normal white blood cell count is not a typical clinical manifestation of iron-deficiency anemia.

Iron-deficiency anemia primarily affects red blood cells and their ability to carry oxygen.

While anemia may lead to fatigue and weakness, it does not directly impact white blood cell counts.

Choice D rationale:

Elevated serum iron levels are not expected in iron-deficiency anemia.

In fact, iron-deficiency anemia is characterized by low serum iron levels due to insufficient iron stores in the body.

Elevated serum iron levels may be seen in other types of anemia or conditions, but they are not a hallmark of iron-deficiency anemia.

A. "Iron absorption can be impaired by consuming green leafy vegetables.” B. "Inadequate iron intake is usually caused by chronic diseases.” C. "Iron is primarily obtained from recycling old red blood cells.” D. "Excessive iron loss can occur due to pregnancy and lactation.”

Correct Answer is C

Explanation

Choice A rationale:

The nurse's statement, "Iron absorption can be impaired by consuming green leafy vegetables," is not accurate.

Green leafy vegetables contain non-heme iron, which is less readily absorbed than heme iron found in animal products.

However, they do not impair iron absorption.

Choice B rationale:

The nurse's statement, "Inadequate iron intake is usually caused by chronic diseases," is not accurate.

Inadequate iron intake is typically caused by dietary factors, such as a lack of iron-rich foods in the diet.

Chronic diseases can lead to anemia, but they do so by affecting the body's utilization of iron, not by causing inadequate intake.

Choice D rationale:

The nurse's statement, "Excessive iron loss can occur due to pregnancy and lactation," is partially accurate.

Pregnancy and lactation can lead to increased iron requirements, but they do not directly cause excessive iron loss.

Iron loss through menstruation is a more common cause of iron deficiency in women.

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(Select all that apply):A nurse is caring for a patient with iron-deficiency anemia.Which nursing interventions are appropriate for this patient? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected iron-deficiency anemia is undergoing diagnostic evaluation.The nurse observes that the client has pallor and spoon-shaped nails.Which additional clinical manifestation should the nurse expect to assess in this client?

Correct Answer is B

Explanation

A nurse is educating a client about the etiology of iron-deficiency anemia.Which statement by the nurse is accurate regarding iron absorption?

Correct Answer is C

Explanation

A nurse is caring for a patient with severe iron-deficiency anemia.Which treatment option is typically reserved for cases of severe or symptomatic anemia that does not respond to iron supplements?

A client has been diagnosed with iron-deficiency anemia.What is the primary goal of treatment and management for this client?

A client with iron-deficiency anemia is prescribed iron supplements.What should the nurse teach the client about taking iron supplements correctly?

A nurse is teaching a group of clients about different types of anemia.Select all the types of anemia that are characterized by RBCs that are smaller than normal.

A nurse is caring for a client diagnosed with iron-deficiency anemia.The client's laboratory results show a low hemoglobin level and microcytic, hypochromic red blood cells on the peripheral blood smear.What other laboratory findings are consistent with iron-deficiency anemia in this client?

A nurse is reviewing the laboratory results of a client suspected to have iron-deficiency anemia.Which of the following findings would confirm the diagnosis of iron-deficiency anemia?

A nurse is educating a group of clients about iron-deficiency anemia.Which of the following factors should the nurse include as potential causes of iron-deficiency anemia? (Select all that apply.)

A client with anemia presents with symptoms of fatigue, shortness of breath, and headache.What is the most likely reason for these symptoms in the client?

(Select all that apply):
A nurse is caring for a patient with iron-deficiency anemia.
Which nursing interventions are appropriate for this patient? Select all that apply.