A nurse is assessing a client with anemia, and the client reports a history of chronic alcoholism. Which type of anemia is most likely to be associated with alcoholism?

Folate-deficiency anemia

Hemolytic anemia

Sickle cell anemia

Macrocytic anemia

Answer and Explanation

The Correct Answer is D

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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Correct Answer is A

Explanation

A) This choice is correct. Taking iron supplements with orange juice or other vitamin C-rich beverages enhances iron absorption due to the presence of vitamin C, which facilitates the absorption of non-heme iron.

B) This choice is incorrect because milk can inhibit iron absorption when taken with iron supplements.

C) This choice is incorrect because tea, especially black tea, contains tannins that can hinder iron absorption.

D) This choice is incorrect because carbonated water does not enhance iron absorption.

A. Hemolytic anemia B. Sickle cell anemia C. Thalassemia D. Pernicious anemia

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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A nurse is assessing a client with anemia, and the client reports a history of chronic alcoholism. Which type of anemia is most likely to be associated with alcoholism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with anemia who is receiving iron supplementation. The nurse should instruct the client to take the iron supplement with which type of beverage to enhance absorption?

Correct Answer is A

Explanation

A nurse is reviewing laboratory results for a client with microcytic and hypochromic red blood cells. Which type of anemia does this finding suggest?

Correct Answer is C

Explanation

A nurse is teaching a client with iron-deficiency anemia about dietary sources of iron. Which food items should the nurse recommend? Select all that apply.

A nurse is caring for a client with anemia, and the laboratory results show an increased number of target cells on the peripheral blood smear. Which type of anemia is most likely to be associated with this finding?

A client with anemia is prescribed ferrous sulfate, an oral iron supplement. The nurse instructs the client to take the medication on an empty stomach. Which beverage should the nurse recommend the client to avoid while taking the supplement?

A client diagnosed with sickle cell anemia is admitted to the hospital during a vaso-occlusive crisis. The nurse understands that which of the following interventions is a priority in managing this crisis?

A client with anemia is experiencing headaches and dizziness. A nurse should suspect which type of anemia?

A client with sickle cell anemia is experiencing a vaso-occlusive crisis. Which intervention should the nurse implement first?

A nurse is caring for a client with sickle cell anemia during a vaso-occlusive crisis. Which of the following clinical manifestations is most likely to be observed during this crisis?

A nurse is educating a client with anemia about dietary modifications to enhance iron absorption. Which of the following food combinations should the nurse recommend to the client to optimize iron uptake?