An adult male with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. Which laboratory data would the nurse identify as consistent with these symptoms?
RBC Count of 4,500,000/mL.
Normal red blood cell (RBC) indices.
Hemoglobin of 8.2 g/dL (82 g/L).
Hematocrit (Hct) 38%.
The Correct Answer is C
Choice A reason: An RBC count of 4,500,000/mL is within the normal range and would not typically cause symptoms of anemia.
Choice B reason: Normal RBC indices do not indicate anemia and would not explain the symptoms.
Choice C reason: A hemoglobin level of 8.2 g/dL is below the normal range and would be consistent with symptoms of anemia such as fatigue and palpitations.
Choice D reason: A hematocrit of 38% is within the normal range for adult males and would not typically be associated with anemia symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Instructing the client to cut back to one or two drinks per day may not be effective for someone with cirrhosis, as any amount of alcohol can be harmful.
Choice B reason: Educating the client about the disease and the specific risks associated with alcohol consumption can provide the motivation needed to make a change.
Choice C reason: Introducing the client to other people who do not drink alcohol could provide social support, but it is not the primary step in motivating change.
Choice D reason: Telling the client that their liver has been destroyed by alcohol might be factual, but it is not a constructive approach to motivate change.
Correct Answer is C
Explanation
Choice A reason: Taking several deep breaths is not specifically related to the preparation for a renal system physical assessment. Deep breaths are more commonly associated with lung examination or to help the patient relax.
Choice B reason: Drinking several glasses of water before a renal assessment could potentially fill the bladder, which might interfere with palpation of the kidneys and make it uncomfortable for the patient.
Choice C reason: Emptying the bladder is the correct action before a renal system physical assessment. It allows for better palpation of the kidneys and other structures without the discomfort of a full bladder. It also prevents the possibility of the patient urinating involuntarily during the examination due to a full bladder.
Choice D reason: Providing a urine sample might be part of the overall renal assessment, but it is not necessary to do so immediately before the physical examination of the renal system. The sample can be collected at any time before or after the physical examination.
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