A client with anemia is receiving erythropoiesis-stimulating agents (ESAs) to promote red blood cell production. The nurse should monitor the client for which adverse effect related to ESA therapy?

Hypotension

Hypokalemia

Hypoglycemia

Thrombosis

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because ESA therapy is not typically associated with hypotension. In fact, an increase in blood pressure is a potential side effect of ESAs.

B) This choice is incorrect because hypokalemia (low potassium levels) is not a common adverse effect of ESA therapy.

C) This choice is incorrect because hypoglycemia (low blood sugar) is not a typical side effect of ESA therapy.

D) This choice is correct. ESA therapy can increase the risk of thrombosis (blood clot formation) due to the stimulation of red blood cell production. Clients receiving ESAs should be monitored for signs of thrombosis, such as swelling, pain, and redness in the extremities.

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Correct Answer is A

Explanation

A) This choice is correct. Vitamin C enhances the absorption of non-heme iron (the type of iron found in plant-based foods and supplements), so increasing vitamin C intake can help improve iron absorption. This can help differentiate between iron-deficiency anemia (improved iron absorption with increased vitamin C) and anemia of chronic disease (improved iron absorption with decreased vitamin C intake).

B) This choice is incorrect because increasing folate intake may help with megaloblastic anemia caused by folate deficiency, but it does not directly differentiate between iron-deficiency anemia and other types of anemia.

C) This choice is incorrect because increasing vitamin B12 intake does not help differentiate between iron-deficiency anemia and other types of anemia.

D) This choice is incorrect because increasing protein intake is important for overall health but does not directly help differentiate between iron-deficiency anemia and other types of anemia.

A. Iron-deficiency anemia B. Hemolytic anemia C. Megaloblastic anemia D. Pernicious anemia

Correct Answer is A

Explanation

A) This choice is correct. A low mean corpuscular volume (MCV) indicates microcytic red blood cells, which are characteristic of iron-deficiency anemia.

B) This choice is incorrect because hemolytic anemia typically presents with a normal or elevated MCV, not a low MCV.

C) This choice is incorrect because megaloblastic anemia is associated with an elevated MCV due to the presence of larger-than-normal red blood cells (macrocytic).

D) This choice is incorrect because pernicious anemia is associated with a macrocytic MCV, not a microcytic MCV.

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A client with anemia is receiving erythropoiesis-stimulating agents (ESAs) to promote red blood cell production. The nurse should monitor the client for which adverse effect related to ESA therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is suspected to have anemia. The nurse advises the client to increase the intake of which dietary component to help differentiate between iron-deficiency anemia and other types of anemia?

Correct Answer is A

Explanation

A nurse is reviewing a client's laboratory results and finds a low mean corpuscular volume (MCV). Which type of anemia does this finding suggest?

Correct Answer is A

Explanation

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