The nurse is evaluating the outcomes for a client who is being treated for iron deficiency anemia.
Which of the following findings would indicate that the treatment is effective?

The client reports an increase in tolerating daily activities.

The client reports a decrease in feeling of paresthesias in the feet.

The client's white blood cell count has improved.

The client's balance has improved.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Improved tolerance for daily activities suggests increased energy levels and improved oxygen delivery to tissues, both indicative of effective iron deficiency anemia treatment. Normal hemoglobin levels are 12-16 g/dL for females and 14-18 g/dL for males, supporting enhanced activity tolerance.

Choice B rationale

Decreased paresthesia indicates improved nerve function but is not directly linked to iron deficiency anemia treatment outcomes. Iron deficiency primarily impacts oxygen transport, and improvements in energy levels and activity tolerance are better indicators of therapeutic success.

Choice C rationale

Improved white blood cell count suggests better immune function but does not directly assess anemia treatment efficacy. Iron therapy aims to normalize hemoglobin and hematocrit levels rather than leukocyte parameters, which are unrelated to anemia management.

Choice D rationale

Enhanced balance may indicate improved neuromuscular function but is not directly correlated with anemia treatment. Balance is influenced by multiple factors, including neurological or musculoskeletal health, rather than oxygenation improvements specific to anemia.

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Correct Answer is C

Explanation

Choice A rationale

Constant erythema and warmth are more characteristic of venous insufficiency or inflammation, rather than peripheral artery disease. PAD is associated with reduced blood flow and tissue perfusion, leading to symptoms like pallor, coolness, and pain rather than persistent redness and warmth in affected areas.

Choice B rationale

Elevating the legs worsens ischemic pain in PAD by further reducing blood flow. Symptoms typically improve when the legs are in a dependent position due to gravity aiding perfusion. This is a key distinguishing feature in PAD compared to other vascular conditions like venous insufficiency.

Choice C rationale

Discomfort in the legs during exercise relieved by rest, known as intermittent claudication, is a hallmark of PAD. It occurs due to inadequate blood supply during increased activity. Rest restores perfusion and alleviates ischemic pain. This symptom reflects underlying arterial obstruction, a core pathophysiological feature of PAD.

Choice D rationale

Peripheral pulses in PAD are diminished or absent due to arterial obstruction. Bounding pulses in dependent positions suggest venous issues or high cardiac output, not arterial insufficiency. Accurate pulse assessment helps differentiate PAD from other vascular conditions. Normal pulse documentation is critical to diagnosis.

A. Reports of malaise. B. Chills. C. Reports of dysuria. D. High fever. E. Reports of urinary frequency.

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

Explanation

Choice A rationale

Malaise is more associated with systemic conditions, such as upper urinary tract infections or generalized illness, rather than isolated lower urinary tract infections. Lower UTIs tend to present with localized urinary symptoms rather than systemic effects.

Choice B rationale

Chills suggest systemic involvement and are characteristic of pyelonephritis or upper urinary tract infections. Lower UTIs typically do not produce systemic signs like chills, as the infection is confined to the bladder and urethra.

Choice C rationale

Dysuria is a classic symptom of lower UTIs. It results from inflammation of the bladder mucosa due to the presence of pathogenic organisms. The irritation of the urinary tract leads to painful or difficult urination, confirming the diagnosis of lower UTI.

Choice D rationale

High fever, like chills, is indicative of upper urinary tract infections, such as pyelonephritis. Lower UTIs are generally afebrile, presenting more with localized urinary symptoms rather than systemic manifestations.

Choice E rationale

Urinary frequency is another hallmark symptom of lower UTIs, caused by bladder irritation. The infection leads to an increased urge to urinate, even when little urine is produced. This symptom is specific to lower UTIs and supports the diagnosis when present.

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The nurse is evaluating the outcomes for a client who is being treated for iron deficiency anemia.Which of the following findings would indicate that the treatment is effective?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a client suspected of having peripheral artery disease (PAD) in the legs.Which of the following findings should the nurse expect during the assessment?

Correct Answer is C

Explanation

The nurse is assessing a client suspected of having a lower urinary tract infection (UTI). Which of the following findings should the nurse expect?

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

Explanation

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The nurse is evaluating the outcomes for a client who is being treated for iron deficiency anemia.
Which of the following findings would indicate that the treatment is effective?