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?

Iron-deficiency anemia

Hemolytic anemia

Sickle cell anemia

Aplastic anemia

Answer and Explanation

The Correct Answer is A

A) This choice is correct. Iron-deficiency anemia may present with an increased number of target cells on the peripheral blood smear, which are red blood cells with a central area of pallor and a surrounding ring of hemoglobin. This appearance is due to a reduced hemoglobin content in relation to cell size.

B) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells and typically presents with different morphological changes on the peripheral blood smear.

C) This choice is incorrect because sickle cell anemia is associated with the presence of sickle-shaped cells, not target cells.

D) This choice is incorrect because aplastic anemia is characterized by a decrease in the number of all formed elements of the blood (red blood cells, white blood cells, and platelets), and it does not typically cause target cells.

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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.

Questions

A. Blood pressure monitoring B. Serum potassium levels C. Dietary sodium intake D. Iron levels and supplementation

Correct Answer is D

Explanation

A) This choice is incorrect because while blood pressure monitoring is essential for clients with chronic kidney disease, it is not specifically related to ESA therapy.

B) This choice is incorrect because serum potassium levels are important in chronic kidney disease, but they are not directly related to ESA therapy.

C) This choice is incorrect because dietary sodium intake is important in managing fluid balance in chronic kidney disease, but it is not directly related to ESA therapy.

D) This choice is correct. ESA therapy stimulates the production of red blood cells, and adequate iron levels are necessary for this process. Clients with chronic kidney disease often have decreased iron levels due to various factors, and iron supplementation is crucial for the success of ESA therapy.

Questions

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A client with chronic kidney disease and anemia is prescribed erythropoiesis-stimulating agents (ESAs) as part of the treatment plan. The nurse educates the client about the importance of which parameter during ESA therapy?

Correct Answer is D

Explanation

A client with anemia presents with pale skin, fatigue, and shortness of breath. The nurse should prioritize which intervention?

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 client presents with signs of hemolysis, including jaundice and an elevated bilirubin level. Which type of anemia is most likely to be associated with these findings?

A nurse is caring for a client with megaloblastic anemia. Which vitamin deficiency is most likely responsible for this condition?

A client is suspected to have anemia. The nurse advises the client to increase the intake of which dietary component to help differentiate between iron-deficiency anemia and other types of anemia?

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?

A client with anemia is prescribed oral iron supplements. The nurse advises the client to take the supplements with which beverage to enhance iron absorption?

A nurse is caring for a client with pernicious anemia. Which of the following statements made by the client demonstrates an understanding of the condition?