(Select all that apply):
A nurse is providing education to a group of clients with different types of hemolytic anemia.
Which types of hemolytic anemia are associated with abnormalities in the shape or structure of red blood cells? (Select all that apply)
Hereditary spherocytosis.
G6PD deficiency.
Sickle cell anemia.
Thalassemia intermedia.
Immune-mediated hemolytic anemia.
Correct Answer : A,C,D,E
Hereditary spherocytosis.
C. Sickle cell anemia.
D. Thalassemia intermedia.
E. Immune-mediated hemolytic anemia.
Choice A rationale:
Hereditary spherocytosis is a genetic disorder characterized by abnormal red blood cell membrane proteins, leading to a spherical shape instead of the normal biconcave disc shape.
Choice C rationale:
Sickle cell anemia is caused by a mutation in the hemoglobin gene, leading to the formation of abnormal hemoglobin (hemoglobin S) that causes red blood cells to take on a sickle shape when oxygen levels are low.
Choice D rationale:
Thalassemia intermedia is a form of thalassemia characterized by the production of abnormal hemoglobin molecules, leading to the destruction of red blood cells and potential changes in their structure.
Choice E rationale:
Immune-mediated hemolytic anemia can result in the production of autoantibodies that attack red blood cells, leading to changes in their structure and function.
Choice B rationale:
G6PD deficiency is not associated with abnormalities in the shape or structure of red blood cells.
Instead, it is characterized by red blood cell destruction due to a lack of the enzyme glucose-6-phosphate dehydrogenase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The statement, "My skin looks paler than usual," is a valid physical examination finding, but it is a general symptom of anemia and not specific to hemolytic anemia.
Other types of anemia can also cause pale skin.
Choice B rationale:
The statement, "I've been having chest pain occasionally," is important to assess, but it is not a specific physical examination finding related to hemolytic anemia.
Chest pain may have various causes, and additional information is needed to determine its significance.
Choice C rationale:
The statement, "I've noticed my urine is getting darker," is a specific physical examination finding that is highly relevant to hemolytic anemia.
Dark urine can result from the breakdown of red blood cells and the release of hemoglobin into the urine, a characteristic feature of hemolytic anemia.
Choice D rationale:
The statement, "I've been experiencing abdominal pain," is important to assess, but it is not a specific physical examination finding related to hemolytic anemia.
Abdominal pain can have various causes, and further evaluation is needed to determine its association with the patient's condition.
Correct Answer is C
Explanation
Choice A rationale:
Administering blood transfusions as ordered is a treatment for hemolytic anemia to replace the deficient red blood cells.
However, it is not a nursing intervention aimed at preventing complications; it is part of the treatment plan.
Choice B rationale:
Providing oxygen therapy as prescribed is a supportive measure to improve tissue oxygenation, which is essential in managing hemolytic anemia.
However, it is not a specific nursing intervention aimed at preventing complications; it is part of the patient's overall care.
Choice C rationale:
Monitoring for fluid and electrolyte imbalances is a crucial nursing intervention in patients with hemolytic anemia.
Hemolysis can lead to the release of hemoglobin into the bloodstream, which can, in turn, cause kidney damage and electrolyte imbalances.
Monitoring and managing these imbalances are essential in preventing complications.
Choice D rationale:
Advising the patient to avoid physical activity is not a specific nursing intervention for hemolytic anemia.
While excessive physical activity may exacerbate symptoms, it is not a primary intervention for preventing complications associated with the condition.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.