A patient has a folic acid deficiency associated with not consuming food with folic acid. The nurse would expect a complete blood cell count (CBC) to reveal?

macrocytic, normochromic

microcytic, hypochromic

normocytic, normochromic

microcytic, normochromic

Answer and Explanation

The Correct Answer is A

Choice A reason: This is correct. Folic acid deficiency causes macrocytic, normochromic anemia, which means that the red blood cells are larger than normal, but have normal color and hemoglobin content. Folic acid is a vitamin that is needed for the synthesis of DNA and the maturation of red blood cells.

Choice B reason: This is incorrect. Microcytic, hypochromic anemia means that the red blood cells are smaller than normal and have less color and hemoglobin content. This type of anemia is caused by iron deficiency, not folic acid deficiency.

Choice C reason: This is incorrect. Normocytic, normochromic anemia means that the red blood cells are normal in size, color, and hemoglobin content, but there are fewer of them. This type of anemia is caused by blood loss, hemolysis, or bone marrow failure, not folic acid deficiency.

Choice D reason: This is incorrect. Microcytic, normochromic anemia means that the red blood cells are smaller than normal, but have normal color and hemoglobin content. This type of anemia is rare and is caused by disorders of red blood cell production, such as thalassemia or sideroblastic anemia, not folic acid deficiency.

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Correct Answer is A

Explanation

Choice A reason: This is correct. A white blood cell count of 1000/mm3 indicates severe neutropenia, which is a condition of having abnormally low levels of neutrophils, a type of white blood cell that fights infections. Neutropenic precautions are measures to protect the client from exposure to pathogens, such as wearing a mask, gloves, and gown, avoiding contact with sick people, and practicing good hygiene.

Choice B reason: This is incorrect. A red blood cell count of 5 million/mm3 is within the normal range for both males and females. It does not indicate any risk of infection or bleeding.

Choice C reason: This is incorrect. A clotting time of 10 minutes is also within the normal range, which is 8 to 15 minutes. It does not indicate any risk of infection or bleeding.

Choice D reason: This is incorrect. A thrombocyte count of 90,000 cells/mm3 is low, but not low enough to require neutropenic precautions. Thrombocytes, also known as platelets, are responsible for blood clotting. A low thrombocyte count increases the risk of bleeding, but not infection. The normal range for thrombocyte count is 150,000 to 450,000 cells/mm3.

A. Apples, oranges and strawberries B. Tuna fish, white bread and green vegetables C. Lean beef, raisins and prunes D. White chicken meat, whole milk and rice

Correct Answer is C

Explanation

Choice A reason: This is incorrect. Apples, oranges and strawberries are good sources of vitamin C, which can help with iron absorption, but they are not high in iron content themselves. The patient should eat foods that are rich in both iron and vitamin C.

Choice B reason: This is incorrect. Tuna fish, white bread and green vegetables are not high in iron content either. Tuna fish is a source of protein, but it has less iron than other types of meat or fish. White bread is refined and has less iron than whole grain bread. Green vegetables have some iron, but not enough to meet the daily requirements.

Choice C reason: This is correct. Lean beef, raisins and prunes are high in iron content and can help the patient with iron deficiency anemia. Lean beef is a source of heme iron, which is more easily absorbed by the body than non-heme iron from plant sources. Raisins and prunes are dried fruits that have more iron than fresh fruits.

Choice D reason: This is incorrect. White chicken meat, whole milk and rice are not high in iron content either. White chicken meat has less iron than dark chicken meat or red meat. Whole milk is a source of calcium, which can interfere with iron absorption. Rice is a source of carbohydrates, but it has less iron than other grains or legumes.

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A patient has a folic acid deficiency associated with not consuming food with folic acid. The nurse would expect a complete blood cell count (CBC) to reveal?

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