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?

Increased blood pressure

Pale skin and mucous membranes

Severe joint pain

High energy levels

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because increased blood pressure is not typically observed during a vaso-occlusive crisis in sickle cell anemia.

B) This choice is incorrect because pale skin and mucous membranes are more likely to be seen in clients with anemia due to decreased red blood cell count, but it is not specific to a vaso-occlusive crisis.

C) This choice is correct. A vaso-occlusive crisis in sickle cell anemia is characterized by the blockage of small blood vessels, leading to severe pain, particularly in the joints and bones.

D) This choice is incorrect because clients experiencing a vaso-occlusive crisis are more likely to feel fatigued and weak due to the lack of oxygen delivery, rather than having high energy levels.

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Correct Answer is A

Explanation

A) This choice is correct. Folate-deficiency anemia can present with fatigue, weakness, and glossitis (inflammation of the tongue), leading to a red, sore tongue.

B) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells, and it does not specifically cause a red, sore tongue.

C) This choice is incorrect because sickle cell anemia primarily causes vaso-occlusive crises and pain, not symptoms related to the tongue.

D) This choice is incorrect because iron-deficiency anemia does not cause glossitis; however, it may present with fatigue and weakness.

A. "I should consume more iron-rich foods in my diet." B. "I need to avoid foods high in vitamin C." C. "I will need to take lifelong vitamin B12 supplements." D. "I should limit my intake of leafy green vegetables."

Correct Answer is C

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client presents with fatigue, weakness, and a red, sore tongue. A nurse suspects the client may have a specific type of anemia. Which type is most likely based on these findings?

Correct Answer is A

Explanation

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?

Correct Answer is C

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?

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