A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?

Slurred speech

Confusion

Pain

Fatigue

Answer and Explanation

The Correct Answer is D

A. Slurred speech - This is not a common symptom of iron deficiency anemia. It might suggest a neurological issue or other condition.

B. Confusion - While severe anemia might lead to confusion due to reduced oxygen delivery to the brain, it is not as common as fatigue and is usually seen in more advanced stages or in combination with other factors.

C. Pain - Pain is not a typical symptom of iron deficiency anemia unless it is related to other conditions like muscle fatigue from overall weakness.

D. Fatigue - Fatigue is a hallmark symptom of iron deficiency anemia due to the decreased ability of the blood to carry oxygen to tissues, leading to overall tiredness and lack of energy.

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Correct Answer is C

Explanation

A. Hemoglobin level:While knowing the hemoglobin level helps determine the need for the transfusion, it is generally assessed and ordered by the provider before the transfusion is prescribed. It is important information but not the most immediate data required directly before administering the PRBCs.

B. Fluid intake:Monitoring fluid balance is important, especially in clients at risk for fluid overload, but it is not as immediately critical as temperature in detecting potential reactions to the transfusion.

C. Temperature:A baseline temperature is crucial to monitor for febrile reactions during the transfusion. Any significant rise in temperature can signal a transfusion reaction, which requires immediate intervention.

D. Skin color:Skin color can provide information on overall oxygenation and perfusion but is not as specific or immediately useful as temperature for monitoring for transfusion reactions.

A. Scatter rugs are present in the kitchen, B. Handrails are present in the bathroom. C. Electrical cords are placed along the walls. D. Uses a microwave for cooking.

Correct Answer is A

Explanation

A. Scatter rugs are present in the kitchen - Scatter rugs can cause tripping and slipping, posing a significant fall risk for someone with vision impairment.

B. Handrails are present in the bathroom - Handrails provide support and help prevent falls, making them a safety feature, not a risk.

C. Electrical cords are placed along the walls - This helps prevent tripping over cords, thus reducing fall risk.

D. Uses a microwave for cooking - A microwave is generally safer than a stove as it reduces the risk of burns and fires, making it a safety feature.

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A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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