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?

"I should consume more iron-rich foods in my diet."

"I need to avoid foods high in vitamin C."

"I will need to take lifelong vitamin B12 supplements."

"I should limit my intake of leafy green vegetables."

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because pernicious anemia is not related to iron deficiency, so increasing iron-rich foods will not address the underlying cause.

B) This choice is incorrect because vitamin C actually enhances the absorption of vitamin B12, which is essential in pernicious anemia.

C) This choice is correct. Pernicious anemia is caused by the lack of intrinsic factor, a protein necessary for vitamin B12 absorption. Clients with pernicious anemia will require lifelong vitamin B12 supplementation, often through intramuscular injections.

D) This choice is incorrect. Leafy green vegetables are good sources of folate, which is not directly related to pernicious anemia.

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Correct Answer is B

Explanation

A) This choice is incorrect because iron-deficiency anemia is more likely in clients with gastric bypass surgery due to reduced iron absorption, but it is not specific to this surgery.

B) This choice is correct. Pernicious anemia is associated with gastric bypass surgery because the procedure can lead to the loss of intrinsic factor-producing cells in the stomach, which is essential for vitamin B12 absorption.

C) This choice is incorrect because hemolytic anemia is not directly linked to gastric bypass surgery.

D) This choice is incorrect because sickle cell anemia is a genetic disorder and is not related to gastric bypass surgery.

Questions

A. Iron-deficiency anemia B. Hemolytic anemia C. Aplastic anemia D. Anemia of chronic disease (ACD)

Correct Answer is D

Explanation

A) This choice is incorrect because iron-deficiency anemia is not directly related to chronic inflammatory diseases; it is more commonly associated with blood loss or inadequate iron intake.

B) This choice is incorrect because hemolytic anemia is not specifically linked to chronic inflammatory diseases.

C) This choice is incorrect because aplastic anemia is characterized by bone marrow suppression and is not primarily associated with chronic inflammatory conditions.

D) This choice is correct. Anemia of chronic disease (ACD), also known as anemia of inflammation, is a type of anemia that occurs in the setting of chronic inflammatory diseases. It is typically caused by the body's response to the inflammation, leading to impaired red blood cell production and a shortened red blood cell lifespan.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of gastric bypass surgery presents with signs of anemia. The nurse should suspect which type of anemia?

Correct Answer is B

Explanation

A nurse is caring for a client with anemia, and the client has a history of chronic inflammatory diseases such as rheumatoid arthritis. Which of the following types of anemia is most likely to be associated with chronic inflammatory conditions?

Correct Answer is D

Explanation

A nurse is assessing a client diagnosed with anemia. Which of the following statements about anemia is correct?

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