A client with anemia presents with pale skin, fatigue, and shortness of breath. The nurse should prioritize which intervention?
Initiating oxygen therapy
Administering pain medication
Assessing the client's pain level
Encouraging rest and activity balance
The Correct Answer is A
A) This choice is correct because the client is showing signs of decreased oxygen-carrying capacity due to anemia, and providing oxygen can help improve oxygen saturation levels and alleviate symptoms.
B) This choice is incorrect because pain medication does not address the underlying issue of anemia and the client's symptoms.
C) This choice is incorrect because assessing pain levels is not the priority when the client is presenting with symptoms of anemia and potential oxygen deficiency.
D) This choice is incorrect because although rest and activity balance are essential for overall well-being, they do not directly address the client's acute symptoms related to anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because coffee contains substances that can inhibit iron absorption.
B) This choice is incorrect because tea, especially black tea, contains tannins that can hinder iron absorption.
C) This choice is incorrect because water does not enhance iron absorption.
D) This choice is correct. Orange juice, or any other vitamin C-rich beverage, enhances the absorption of non-heme iron found in supplements and plant-based foods.
Correct Answer is C
Explanation
A) This choice is incorrect because hemolytic anemia typically presents with normocytic and normochromic red blood cells, as the bone marrow compensates by releasing immature red blood cells.
B) This choice is incorrect because sickle cell anemia is characterized by the presence of sickle-shaped red blood cells and is not associated with microcytic and hypochromic cells.
C) This choice is correct. Thalassemia is a type of anemia in which the synthesis of globin chains is impaired, leading to microcytic and hypochromic red blood cells.
D) This choice is incorrect because pernicious anemia is associated with macrocytic and normochromic red blood cells due to vitamin B12 deficiency.
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