A nurse is caring for a client with anemia. Which diagnostic test should the nurse anticipate to determine the cause of the anemia and assess the size and shape of the red blood cells?

Hemoglobin electrophoresis

Reticulocyte count

Peripheral blood smear

Serum iron levels

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is A

Explanation

A) This choice is correct because the client is showing signs of decreased oxygen-carrying capacity due to anemia, and providing oxygen can help improve oxygen saturation levels and alleviate symptoms.

B) This choice is incorrect because pain medication does not address the underlying issue of anemia and the client's symptoms.

C) This choice is incorrect because assessing pain levels is not the priority when the client is presenting with symptoms of anemia and potential oxygen deficiency.

D) This choice is incorrect because although rest and activity balance are essential for overall well-being, they do not directly address the client's acute symptoms related to anemia.

A. Iron-deficiency anemia B. Aplastic anemia C. Sickle cell anemia D. Megaloblastic anemia

Correct Answer is D

Explanation

A) This choice is incorrect because iron-deficiency anemia is associated with microcytic and hypochromic red blood cells, not macrocytic and normochromic cells.

B) This choice is incorrect because aplastic anemia typically presents with normocytic and normochromic red blood cells.

C) This choice is incorrect because sickle cell anemia does not cause macrocytic and normochromic red blood cells.

D) This choice is correct. Megaloblastic anemia is characterized by macrocytic (large) and normochromic (normal color) red blood cells, which are the result of impaired DNA synthesis during red blood cell production. This condition is often caused by vitamin B12 or folate deficiency.

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A nurse is caring for a client with anemia. Which diagnostic test should the nurse anticipate to determine the cause of the anemia and assess the size and shape of the red blood cells?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A client is diagnosed with anemia, and laboratory results show macrocytic and normochromic red blood cells. A nurse suspects a specific type of anemia based on these findings. Which type is most likely to be associated with this result?

Correct Answer is D

Explanation

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A nurse is caring for a client with anemia. Which diagnostic test should the nurse anticipate to determine the cause of the anemia and assess the size and shape of the red blood cells?

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