The nurse is assessing a Client who presented with fatigue, weakness, and a low hemoglobin level. Which of the following Signs and symptoms would lead the nurse to Suspect hemolytic anemia?

History of menorrhagia

Yellowing of the skin and eyes

Long-term use of omeprazole

History of frequent hospital visits for vaso-occlusive crises

Answer and Explanation

The Correct Answer is B

A. Menorrhagia (heavy menstrual bleeding) is more indicative of iron deficiency anemia.

B. Hemolytic anemia involves increased red blood cell destruction, leading to the release of bilirubin and causing jaundice (yellowing of the skin and eyes).

C. Long-term omeprazole use is associated with vitamin B12 deficiency anemia, not hemolytic anemia.

D. Frequent hospital visits for vaso-occlusive crises are characteristic of sickle cell disease, which can cause hemolytic anemia but has a distinct pathophysiology.

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Correct Answer is A

Explanation

A. After initial HIV infection, clients typically enter a latent phase where symptoms subside, but the virus continues to replicate. This phase can last for years before progressing to AIDS when the CD4+ T-cell count drops below 200.

B. Symptoms generally do not correlate with a CD4+ count of 500; mild immunosuppression may begin at this level, but the client remains asymptomatic.

C. The virus is still active and causing immune system damage, even when symptoms are absent.

D. HIV transmission can still occur during the asymptomatic phase, especially if viral load is detectable.

A. Enzyme-linked Immunosorbent assay (ELISA) B. Schilling Test C. Hemoglobin electrophoresis D. Western Blot E. Ferritin and Total Iron-Binding Capacity

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

Explanation

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.

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The nurse is assessing a Client who presented with fatigue, weakness, and a low hemoglobin level. Which of the following Signs and symptoms would lead the nurse to Suspect hemolytic anemia?

Nursing Test Bank

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