Unit 3 ANEMIAS Davis Advantage Flashcards
The nurse is aware that a client who presents with anemia could exhibit which of these signs and symptoms of the disorder? Select all that apply.
Fatigue
Bradycardia
Shortness of breath
Pallor
Bradypnea
xFatigue
xShortness of breath
xPallor
The nurse is aware that client education about oral iron supplements was effective when the client makes which of these statements?
“There are no side effect symptoms that I need to worry about.”
“It would be good for me to take my iron supplement with a glass of orange juice.”
“It will be best for me to take my supplement immediately after breakfast.”
“If I eat a healthy diet today, I can skip my iron supplement.”
X “It would be good for me to take my iron supplement with a glass of orange juice.”
The nurse is preparing client-teaching handouts about iron deficiency anemia. The nurse knows which of these would be a common cause of this condition? Select all that apply.
Hemorrhage and chronic blood loss
Peptic ulcer
Chronic respiratory conditions
Poor nutritional intake
Sickle cell trait
X Poor nutritional intake
X Hemorrhage and chronic blood loss
X Peptic ulcer
The nurse would explain to the client which of these foods are dietary sources of iron? Select all that apply.
Dark green leafy vegetables
Seafood
Fortified cereals and breads
Citrus fruits
Red meat
X Fortified cereals and breads
X Red meat
X Dark green leafy vegetables
The nurse is caring for Susan, a young adult female client, in the healthcare provider’s office. She has symptoms of “feeling tired” and “having no energy.”
The nurse questions if Susan may be experiencing anemia. Which symptoms should the nurse evaluate for? Select all that apply.
Fatigue
Hypokalemia
Pallor
Tachycardia
Constipation
Tachypnea
Dehydration
Shortness of breath
X Fatigue
X Pallor
X Tachycardia
X Tachypnea
Susan is exhibiting several of the general symptoms of anemia. The nurse asks if she has had any episodes of confusion and disorientation. Susan states, “Now that you mention it, I have had some afternoons where I have not felt like myself. I guess you could call it confused or disoriented. Why would I be feeling like that? Does anemia cause these symptoms?” What would be the nurse’s best response?
“Some types of anemia can cause these symptoms due to decreased oxygenation of the brain.”
“If you are having these symptoms it could mean that there is something going on more serious than anemia.”
“I doubt it is anything to worry about. You can mention it to the healthcare provider when they see you.”
“I will let the healthcare provider know right now of these symptoms.”
?
Susan is exhibiting several of the general symptoms of anemia. The nurse asks if she has had any episodes of confusion and disorientation. Susan states, “Now that you mention it, I have had some afternoons where I have not felt like myself. I guess you could call it confused or disoriented. Why would I be feeling like that? Does anemia cause these symptoms?” What would be the nurse’s best response?
“Some types of anemia can cause these symptoms due to decreased oxygenation of the brain.”
“If you are having these symptoms it could mean that there is something going on more serious than anemia.”
“I doubt it is anything to worry about. You can mention it to the healthcare provider when they see you.”
“I will let the healthcare provider know right now of these symptoms.”
X “Some types of anemia can cause these symptoms due to decreased oxygenation of the brain.”
While completing a nursing history, the nurse learns that Susan is prescribed metformin and oral contraceptives. She is at risk for what type of anemia?
Iron deficiency anemia
Vitamin B12 anemia
Folic acid deficiency
Sickle cell anemia
X Folic acid deficiency
As Susan is preparing to leave, the nurse is reviewing a teaching handout about increasing dietary folic acid. What should be included in the teaching plan? Select all that apply.
Red meat
Green leafy vegetables
Fortified grains
Dairy products
Nuts
XGreen leafy vegetables
XFortified grains
XNuts
Johnston is a 22-year-old male with human immunodeficiency virus. He was born with the virus and has been maintained with medications since birth. He presents to the clinic today with extreme fatigue.
The practitioner draws serum blood work and the results include decreased red blood cells, white blood cells, and platelets. What type of anemia could cause these results?
Folic acid anemia
B12 anemia
Iron deficiency anemia
Aplastic anemia
X Aplastic anemia
Which symptoms should the nurse assess Johnston for?
Shortness of breath
Constipation
Bruising
Infection
Sleeplessness
X Shortness of breath
X Bruising
X Infection
Johnston asks the nurse what he should expect as treatment for his aplastic anemia. What should the nurse say?
Most symptoms will be resolved with dietary changes.
Often blood transfusions are a part of the treatment for the anemia.
Removal of your HIV medications will treat the aplastic anemia.
There are medications that will cure your bone marrow disease.
X Often blood transfusions are a part of the treatment for the anemia.
Johnston is placed on bleeding precautions for his low platelet count. What should the nurse include with this? Select all that apply.
Bladed razors
Soft toothbrushes
Frequent rotation of IV sites
Direct pressure to venipuncture and injection sites
Flossing
X Soft toothbrushes
X Direct pressure to venipuncture and injection sites
The nurse is explaining the diagnosis of aplastic anemia to the client. The nurse would include which of these statements in the explanation?
The client has a decreased number of red blood cells in the bloodstream.
The client has a decrease in red blood cell production.
The client is deficient in red blood cells, white blood cells, and platelets.
The client has a lack of vitamin B12, known as extrinsic factor.
X The client is deficient in red blood cells, white blood cells, and platelets.
The client has been diagnosed with a vitamin B12 deficiency. What would the nurse ask more about in the client history related to this finding?
Seasonal allergies
Diet
Medications
Exercise
X Diet
The nurse understands that anemia has many possible etiologies. Which can cause anemia? Select all that apply.
Diet low in vitamin D
Reduction in the number of red blood cells
Inability of the body to absorb vitamin B12
Reduction in hemoglobin
Excess amount of folic acid in the body
X Reduction in the number of red blood cells
X Inability of the body to absorb vitamin B12
X Reduction in hemoglobin
The nurse is aware that a client with anemia could exhibit which generalized symptoms? Select all that apply.
Hypersensitivity to light
Dizziness
Shortness of breath
Bleeding gums
Fatigue
X Dizziness
X Shortness of breath
X Bleeding gums
X Fatigue
The nurse is teaching a client diagnosed with iron deficiency anemia about the importance of increasing iron intake in the diet. The nurse would know the teaching was effective when the client states which of the following foods are rich in dietary iron? Select all that apply.
Red meat
Dark green leafy vegetables
Fish and shellfish
Dried beans
Citrus fruits
?
The nurse is assessing a child who ingests clay. Which is the most likely cause for this condition?
Depletion of iron in the body
Reduction in the number of platelets
Deficiency of vitamin B12
Increase in production of red blood cells
?
The nurse is caring for a patient with iron deficiency anemia. The patient has been asked to increase his daily dietary intake of iron. What foods should the nurse suggest?
Meat, dark green leafy vegetables, dried beans, and beets
The nurse is assessing a child who ingests clay. Which is the most likely cause for this condition?
Depletion of iron in the body
Which assessment findings does the nurse associate with iron deficiency anemia (IDA)? Select all that apply.
Fatigue
Glossitis
Koilonychias
Pica
The nurse is caring for a patient with iron deficiency anemia. Which food should the nurse teach the patient to include in his or her daily diet to improve iron absorption?
Citrus fruits
Which individuals are likely to develop vitamin B12 anemia? Select all that apply.
An older adult patient
A patient with a recent gastrointestinal (GI) resection
A patient who is a long-term vegetarian
An older adult patient
A patient with a recent gastrointestinal (GI) resection
A patient who is a long-term vegetarian
Which is true regarding pernicious anemia?
It is an autoimmune disease.
Which assessment finding is correlated with vitamin B12 deficiency? Select all that apply.
Impaired sense of balance
Numbness and tingling in the hands and feet
Sensation of electric shock produced by neck flexion
Which is a cause of folic acid deficiency? Select all that apply.
Pregnancy Radiation therapy Hemodialysis Vegetarian diet Alcoholism
Which laboratory test does the nurse refer to so as to distinguish folic acid deficiency in a patient
Serum homocysteine levels
Serum homocysteine levels
