A nurse is reviewing a client's laboratory results and finds a low mean corpuscular volume (MCV). Which type of anemia does this finding suggest?

Iron-deficiency anemia

Hemolytic anemia

Megaloblastic anemia

Pernicious anemia

Answer and Explanation

The Correct Answer is A

A) This choice is correct. A low mean corpuscular volume (MCV) indicates microcytic red blood cells, which are characteristic of iron-deficiency anemia.

B) This choice is incorrect because hemolytic anemia typically presents with a normal or elevated MCV, not a low MCV.

C) This choice is incorrect because megaloblastic anemia is associated with an elevated MCV due to the presence of larger-than-normal red blood cells (macrocytic).

D) This choice is incorrect because pernicious anemia is associated with a macrocytic MCV, not a microcytic MCV.

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Correct Answer is B

Explanation

A) This choice is incorrect because the Schilling test is not used to diagnose iron-deficiency anemia. It is primarily used to diagnose pernicious anemia, a type of megaloblastic anemia caused by vitamin B12 deficiency.

B) This choice is correct. The Schilling test is used to diagnose pernicious anemia by assessing the body's ability to absorb vitamin B12 from the digestive system.

C) This choice is incorrect because the Schilling test is not used to diagnose aplastic anemia. Aplastic anemia is diagnosed through other means, such as bone marrow biopsy and blood tests.

D) This choice is incorrect because the Schilling test is not used to diagnose hemolytic anemia. Hemolytic anemia is diagnosed through blood tests and other assessments to determine red blood cell destruction.

Questions

A. Polyuria B. Increased appetite C. Shortness of breath D. Increased energy levels

Correct Answer is C

Explanation

A) This choice is incorrect because polyuria, or increased urination, is not a common symptom of anemia. It may be associated with other conditions like diabetes.

B) This choice is incorrect because increased appetite is not typically associated with anemia. In fact, some clients with anemia may have a reduced appetite due to fatigue and weakness.

C) This choice is correct. Anemia leads to decreased oxygen-carrying capacity of the blood, which can result in shortness of breath, especially during physical exertion.

D) This choice is incorrect because anemia causes fatigue and decreased energy levels, not increased energy levels.

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A nurse is reviewing a client's laboratory results and finds a low mean corpuscular volume (MCV). Which type of anemia does this finding suggest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with anemia is undergoing a Schilling test to determine the cause of the condition. The nurse should recognize that this test is used to diagnose which type of anemia?

Correct Answer is B

Explanation

A nurse is assessing a client with anemia. Which of the following symptoms is most commonly associated with anemia?

Correct Answer is C

Explanation

A client with anemia complains of fatigue and weakness. Which additional assessment finding is commonly associated with this condition?

A client with anemia presents with pallor of the skin and mucous membranes. The nurse should assess for which other related clinical manifestation?

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

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?

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?

A nurse is caring for a client with a low reticulocyte count. Which type of anemia is most likely to be associated with this finding?

A client with sickle cell anemia is experiencing a vaso-occlusive crisis. Which intervention should the nurse implement first?

A nurse is caring for a client diagnosed with iron-deficiency anemia. The client asks the nurse about dietary changes to improve their condition. Which food item should the nurse recommend to the client to increase their iron intake?