A nurse is assessing a client diagnosed with anemia related to gastrointestinal (61) bleeding. Which prescription would the nurse expect at discharge?
Warfarin
Vitamin D supplements
Iron supplements
Zidovudine
The Correct Answer is C
A. Warfarin is an anticoagulant and could worsen bleeding; it is contraindicated in GI bleeding cases.
B. Vitamin D is essential for bone health but does not directly treat anemia.
C. Iron supplements are commonly prescribed for anemia due to GI bleeding because chronic blood loss leads to iron deficiency. Iron supplementation helps replenish iron stores necessary for RBC production.
D. Zidovudine is an antiretroviral medication used for HIV treatment and is unrelated to anemia from GI bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. ELISA – Used for detecting infections or immune conditions but is not specific for anemia.
B. Schilling Test – Used to diagnose vitamin B12 deficiency and pernicious anemia.
C. Hemoglobin Electrophoresis – Used to diagnose sickle cell anemia and thalassemias by identifying abnormal hemoglobin variants.
D. Western Blot – Used to confirm infections like HIV, not to diagnose anemia.
E. Ferritin and Total Iron-Binding Capacity (TIBC) – Help assess iron status and diagnose iron deficiency anemia.
Correct Answer is A
Explanation
A. After initial HIV infection, clients typically enter a latent phase where symptoms subside, but the virus continues to replicate. This phase can last for years before progressing to AIDS when the CD4+ T-cell count drops below 200.
B. Symptoms generally do not correlate with a CD4+ count of 500; mild immunosuppression may begin at this level, but the client remains asymptomatic.
C. The virus is still active and causing immune system damage, even when symptoms are absent.
D. HIV transmission can still occur during the asymptomatic phase, especially if viral load is detectable.
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