The nurse is performing an assessment on a client with a diagnosis of pernicious anemia.

Which finding would the nurse expect to note in this client?

Dusky mucous membranes

Red tongue that is smooth and sore

Shortness of breath on exertion

Dyspnea

Answer and Explanation

The Correct Answer is B

A.   Dusky mucous membranes are not typically associated with pernicious anemia.
B.   A red tongue that is smooth and sore is a common finding in pernicious anemia due to vitamin B12 deficiency, which affects the epithelial cells of the tongue.
C.   Shortness of breath on exertion can occur in many types of anemia but is not specific to pernicious anemia.
D.   Dyspnea is also a common symptom in various anemias but is not as characteristic as the red, smooth, and sore tongue in pernicious anemia.

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Correct Answer is ["A","B","D","E"]

Explanation

A. Feeling for changes in the underarm area is important as breast tissue extends into this region and lumps can form there.
B. Since menopausal women do not have periods, they can perform BSE at any consistent time each month to help remember to do it regularly.
C. Pressing the breasts too firmly could cause discomfort and is not necessary for detecting lumps.
D. Performing BSE in the shower is effective because the soapy water allows the fingers to move smoothly over the skin.
E. Using fingertips is the proper technique for checking breasts, as it allows for more sensitivity in detecting changes in the breast tissue.

A. Decreased serum albumin. B. Jaundice C. Increased serum bilirubin. D. Increased bilirubin E. Presence of dark urine.

Correct Answer is B

Explanation

A. Decreased serum albumin is not typically associated with hemolysis; it may occur in conditions such as liver disease or malnutrition.
B. Jaundice, or yellowing of the skin and eyes, is a common manifestation of hemolysis due to the increased production of bilirubin from the breakdown of red blood cells.
C. Increased serum bilirubin levels occur as a result of hemolysis, contributing to the development of jaundice.
D. Increased bilirubin is essentially the same as increased serum bilirubin; both indicate the presence of jaundice due to hemolysis.
E. Presence of dark urine is also characteristic of hemolysis, as it may contain excess bilirubin, giving it a darker color.

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The nurse is performing an assessment on a client with a diagnosis of pernicious anemia. Which finding would the nurse expect to note in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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The nurse is performing an assessment on a client with a diagnosis of pernicious anemia.

Which finding would the nurse expect to note in this client?