A nurse is caring for a client with a low reticulocyte count. Which type of anemia is most likely to be associated with this finding?

Hemolytic anemia

Iron-deficiency anemia

Aplastic anemia

Pernicious anemia

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because hemolytic anemia is characterized by an increased destruction of red blood cells, which would typically result in a high reticulocyte count.

B) This choice is incorrect because iron-deficiency anemia is characterized by a low level of iron, which leads to decreased hemoglobin production but does not necessarily affect reticulocyte count.

C) This choice is correct. Aplastic anemia is characterized by the failure of the bone marrow to produce an adequate number of red blood cells, leading to a low reticulocyte count.

D) This choice is incorrect because pernicious anemia is caused by a deficiency in vitamin B12, which affects red blood cell maturation but does not directly influence reticulocyte count.

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Correct Answer is A

Explanation

A) This choice is correct. Serum ferritin levels are used to assess the body's iron stores. Ferritin is a protein that stores iron in the body, and low levels of serum ferritin indicate iron deficiency.

B) This choice is incorrect because the erythrocyte sedimentation rate (ESR) is a nonspecific indicator of inflammation and is not directly related to iron stores.

C) This choice is incorrect because total iron-binding capacity (TIBC) measures the amount of iron that can be bound to transferrin, a protein that transports iron in the blood, but it does not directly assess iron stores.

D) This choice is incorrect because the white blood cell count (WBC) is not directly related to iron stores or the evaluation of anemia.

A. Iron deficiency B. Impaired erythropoietin production C. Hemolysis of red blood cells D. Vitamin B12 deficiency

Correct Answer is B

Explanation

A) This choice is incorrect because iron deficiency is one of the causes of anemia, but in chronic kidney disease, impaired erythropoietin production is the primary reason.

B) This choice is correct. Anemia in chronic kidney disease is primarily caused by decreased production of erythropoietin, a hormone produced by the kidneys that stimulates red blood cell production in the bone marrow.

C) This choice is incorrect because hemolysis of red blood cells is not the main cause of anemia in chronic kidney disease.

D) This choice is incorrect because vitamin B12 deficiency is not typically associated with anemia in chronic kidney disease.

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A nurse is caring for a client with a low reticulocyte count. Which type of anemia is most likely to be associated with this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with anemia is undergoing diagnostic evaluation. The nurse anticipates that which laboratory test will be ordered to assess the body's iron stores?

Correct Answer is A

Explanation

A client diagnosed with chronic kidney disease is experiencing anemia. A nurse recognizes that this type of anemia is primarily due to:

Correct Answer is B

Explanation

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