An RN is reviewing diagnostic tests for different types of anemia with a student nurse. Which of the following does the student correctly state is used for the diagnosis of types of anemia? (Select all that apply).
Enzyme-linked Immunosorbent assay (ELISA)
Schilling Test
Hemoglobin electrophoresis
Western Blot
Ferritin and Total Iron-Binding Capacity
Correct Answer : B,C,D
A. ELISA – Used for detecting infections or immune conditions but is not specific for anemia.
B. Schilling Test – Used to diagnose vitamin B12 deficiency and pernicious anemia.
C. Hemoglobin Electrophoresis – Used to diagnose sickle cell anemia and thalassemias by identifying abnormal hemoglobin variants.
D. Western Blot – Used to confirm infections like HIV, not to diagnose anemia.
E. Ferritin and Total Iron-Binding Capacity (TIBC) – Help assess iron status and diagnose iron deficiency anemia.
Nursing Test Bank
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Related Questions
Correct Answer is C
Explanation
A. Warfarin is an anticoagulant and could worsen bleeding; it is contraindicated in GI bleeding cases.
B. Vitamin D is essential for bone health but does not directly treat anemia.
C. Iron supplements are commonly prescribed for anemia due to GI bleeding because chronic blood loss leads to iron deficiency. Iron supplementation helps replenish iron stores necessary for RBC production.
D. Zidovudine is an antiretroviral medication used for HIV treatment and is unrelated to anemia from GI bleeding.
Correct Answer is C
Explanation
A. Neutrophil count is not a direct measure of ART effectiveness; a decrease may indicate bone marrow suppression or infection.
B. A decreased CD4+ T-cell count suggests disease progression, not effective treatment.
C. A decreased viral load indicates that ART is effectively suppressing HIV replication. This is the primary goal of treatment to prevent disease progression and maintain immune function.
D. A decreased white blood cell count can result from various factors and does not indicate ART effectiveness.
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