The nurse is assessing a Client who presented with fatigue, weakness, and a low hemoglobin level. Which of the following Signs and symptoms would lead the nurse to Suspect hemolytic anemia?
History of menorrhagia
Yellowing of the skin and eyes
Long-term use of omeprazole
History of frequent hospital visits for vaso-occlusive crises
The Correct Answer is B
A. Menorrhagia (heavy menstrual bleeding) is more indicative of iron deficiency anemia.
B. Hemolytic anemia involves increased red blood cell destruction, leading to the release of bilirubin and causing jaundice (yellowing of the skin and eyes).
C. Long-term omeprazole use is associated with vitamin B12 deficiency anemia, not hemolytic anemia.
D. Frequent hospital visits for vaso-occlusive crises are characteristic of sickle cell disease, which can cause hemolytic anemia but has a distinct pathophysiology.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Oral iron supplementation is helpful for chronic anemia but is not effective for acute blood loss.
B. A hemoglobin of 6.3 g/dL in a hemorrhagic patient requires immediate transfusion of packed red blood cells (PRBCs) to restore oxygen-carrying capacity and prevent shock.
C. Hypovolemia should be managed with isotonic IV fluids (e.g., 0.9% NS or lactated Ringer’s), not hypotonic solutions like 0.45% sodium chloride.
D. Cyanocobalamin (B-12) is used for pernicious anemia but is not relevant for acute blood loss.
Correct Answer is ["A","B","D","E"]
Explanation
A. Washing dishes in hot water with antimicrobial soap helps prevent foodborne infections.
B. Frequent hand and oral hygiene reduce the risk of bacterial and fungal infections.
C. Simply sitting farther away from sick individuals is not sufficient; avoiding direct contact and ensuring proper hand hygiene is more effective.
D. Wearing gloves while cleaning the litter box prevents toxoplasmosis, an opportunistic infection common in immunocompromised clients.
E. Rinsing fresh produce reduces the risk of foodborne illnesses.
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