A client with anemia is undergoing diagnostic evaluation. The nurse anticipates that which laboratory test will be ordered to assess the body's iron stores?

Serum ferritin levels

Erythrocyte sedimentation rate (ESR)

Total iron-binding capacity (TIBC)

White blood cell count (WBC)

Answer and Explanation

The Correct Answer is A

A) This choice is correct. Serum ferritin levels are used to assess the body's iron stores. Ferritin is a protein that stores iron in the body, and low levels of serum ferritin indicate iron deficiency.

B) This choice is incorrect because the erythrocyte sedimentation rate (ESR) is a nonspecific indicator of inflammation and is not directly related to iron stores.

C) This choice is incorrect because total iron-binding capacity (TIBC) measures the amount of iron that can be bound to transferrin, a protein that transports iron in the blood, but it does not directly assess iron stores.

D) This choice is incorrect because the white blood cell count (WBC) is not directly related to iron stores or the evaluation of anemia.

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Correct Answer is C

Explanation

A) This choice is incorrect because polyuria, or increased urination, is not a common symptom of anemia. It may be associated with other conditions like diabetes.

B) This choice is incorrect because increased appetite is not typically associated with anemia. In fact, some clients with anemia may have a reduced appetite due to fatigue and weakness.

C) This choice is correct. Anemia leads to decreased oxygen-carrying capacity of the blood, which can result in shortness of breath, especially during physical exertion.

D) This choice is incorrect because anemia causes fatigue and decreased energy levels, not increased energy levels.

A. Folate-deficiency anemia B. Hemolytic anemia C. Sickle cell anemia D. Macrocytic anemia

Correct Answer is D

Explanation

A) This choice is incorrect because folate-deficiency anemia is associated with a deficiency of folic acid, often caused by poor dietary intake or malabsorption, but not specifically linked to alcoholism.

B) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells and is not directly related to alcoholism.

C) This choice is incorrect because sickle cell anemia is a genetic disorder and is not caused by alcohol consumption.

D) This choice is correct. Macrocytic anemia is commonly associated with alcoholism due to the direct toxic effects of alcohol on bone marrow, resulting in the production of larger-than-normal red blood cells (macrocytes).

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A client with anemia is undergoing diagnostic evaluation. The nurse anticipates that which laboratory test will be ordered to assess the body's iron stores?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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