A nurse is assessing a client with suspected anemia. Which laboratory test is commonly used to confirm the diagnosis of anemia?
Electrocardiogram (ECG)
Complete blood count (CBC)
Serum creatinine
Urinalysis
The Correct Answer is B
A) This choice is incorrect because an electrocardiogram (ECG) is not a diagnostic test for anemia. It is used to assess heart function.
B) This choice is correct. A complete blood count (CBC) is the primary diagnostic test used to confirm the presence of anemia. It provides information about red blood cell count, hemoglobin levels, hematocrit, and other parameters related to blood cell characteristics.
C) This choice is incorrect because serum creatinine is used to assess kidney function, not to diagnose anemia.
D) This choice is incorrect because a urinalysis is not a diagnostic test for anemia. It is used to assess kidney function and urinary tract health.
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Correct Answer is C
Explanation
A) This choice is incorrect because hemoglobin electrophoresis is used to identify abnormal hemoglobin types, not to assess the size and shape of red blood cells.
B) This choice is incorrect because a reticulocyte count measures the number of immature red blood cells in the blood and helps determine if the bone marrow is responding appropriately to anemia, but it does not assess the size and shape of red blood cells.
C) This choice is correct. A peripheral blood smear is used to examine the morphology of red blood cells, including their size, shape, and appearance. It can help identify different types of anemia and determine the cause of anemia.
D) This choice is incorrect because serum iron levels provide information about iron status but do not directly assess the size and shape of red blood cells.
Correct Answer is A
Explanation
A) This choice is correct. Headaches and dizziness are common symptoms of iron-deficiency anemia due to decreased oxygen delivery to the brain.
B) This choice is incorrect because headaches and dizziness are not specific to hemolytic anemia.
C) This choice is incorrect because pernicious anemia is primarily associated with neurological symptoms such as tingling and difficulty maintaining balance, but not specifically headaches and dizziness.
D) This choice is incorrect because headaches and dizziness are not directly related to aplastic anemia. Aplastic anemia primarily affects the bone marrow and leads to decreased production of all blood cells, rather than causing symptoms specific to the brain.
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