A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse review?
Platelet count.
Liver enzymes.
Complete blood count.
Serum electrolytes.
The Correct Answer is C
Choice A reason: Platelet count is important for clotting but does not directly address the cause of fatigue in pernicious anemia.
Choice B reason: Liver enzymes are important for liver function but are not related to pernicious anemia.
Choice C reason:
The correct answer is c) because a complete blood count (CBC) provides information about hemoglobin and hematocrit levels, which are directly impacted by pernicious anemia and can explain the fatigue.
Choice D reason: Serum electrolytes are important but do not directly address the cause of fatigue in pernicious anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Altered tissue perfusion is important but not the primary concern in osteomalacia.
Choice B reason: Sleep pattern disturbance may occur but is not the highest priority.
Choice C reason:
The correct answer is c) because clients with osteomalacia have weakened bones and are at high risk for fractures, making injury prevention the highest priority.
Choice D reason: Risk of infection is important but not the primary concern in osteomalacia.
Correct Answer is D
Explanation
Choice A reason: High-potassium foods should be monitored but are not the primary concern for AGN.
Choice B reason: Protein intake should be managed but not necessarily increased.
Choice C reason: Avoiding high-carbohydrate foods is not specific to AGN management.
Choice D reason:
The correct answer is d) because restricting sodium intake helps manage fluid retention and hypertension, which are common issues in AGN.
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