A patient with alcoholic liver disease has severe anemia. Which of the following explains the development of anemia in this particular patient?

Alcohol suppresses erythropoiesis.

Alcoholics are often deficient in folate.

Liver dysfunction leads to decreased clotting factors.

Gastric ulcers may lead to chronic blood loss.

Alcohol causes inflammation, which leads to anemia.

Answer and Explanation

The Correct Answer is A

A.   Alcohol can directly suppress the production of red blood cells (erythropoiesis) in the bone marrow, leading to anemia.
B.   While alcoholics may indeed be deficient in folate due to poor nutrition, folate deficiency is not the primary mechanism for anemia in alcoholic liver disease.
C.   Liver dysfunction can lead to decreased production of clotting factors, contributing to coagulopathy, but it is not the primary mechanism for anemia in alcoholic liver disease.
D.   Gastric ulcers may indeed lead to chronic blood loss, contributing to anemia, but it is not specific to alcoholic liver disease.
E.   While alcohol-induced inflammation may contribute to various complications, including liver damage, it is not the primary mechanism for anemia in alcoholic liver disease.

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Correct Answer is A

Explanation

A. Given the low hemoglobin level and weight, the patient is likely experiencing fatigue due to decreased oxygen-carrying capacity of the blood, leading to activity intolerance.
B. While weight loss may contribute to body image disturbance, it is not the primary concern for a patient with iron-deficiency anemia and low hemoglobin levels.
C. Anxiety related to the hospital environment may be present, but it is not the most appropriate nursing diagnosis based on the patient's clinical presentation and laboratory findings.
D. Impaired tissue integrity related to immobility is not the most appropriate nursing diagnosis for a patient with iron-deficiency anemia. This diagnosis is more commonly associated with pressure ulcers or skin breakdown in patients who are immobile for extended periods, which is not described in this scenario.

A. During cold weather B. Before menstruation begins C. After menstruation ends D. During hot weather

Correct Answer is B

Explanation

A. During cold weather: Weather conditions do not typically affect the manifestations of fibrocystic breast disease.
B. Before menstruation begins: Manifestations of fibrocystic breast disease, such as breast pain and lumpiness, tend to occur or worsen in the premenstrual phase of the menstrual cycle.
C. After menstruation ends: Manifestations of fibrocystic breast disease are typically most prominent before menstruation rather than after it ends.
D. During hot weather: Weather conditions do not typically affect the manifestations of fibrocystic breast disease.

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A patient with alcoholic liver disease has severe anemia. Which of the following explains the development of anemia in this particular patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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