Nokea
Laboratory tests are prescribed for the client who has a smooth and reddened tongue and ulcers at the corners of the mouth. Which result would the nurse find if the client has iron-deficiency anemia?
- A. Low hemoglobin and hematocrit
- B. Elevated red blood cells (RBCs)
- C. Prolonged prothrombin time (PT)
- D. Elevated white blood cells (WBCs)
Correct Answer: A
Rationale: A. A smooth, red tongue, ulcers at the corners of the mouth (angular cheilosis), and a low Hgb are signs of iron-deficiency anemia. B. Excess RBCs are associated with polycythemia vera. C. Prolonged PT is seen with clients taking antico-agulants or experiencing a coagulation disorder. D. Elevated WBCs are not associated with iron-deficiency anemia but with an infection. Ulcers, if infected, would elevate the WBCs.
You may also like to solve these questions
The nurse is teaching the client who is to undergo diagnostic testing for possible gastric cancer. Teaching the client about which specific diagnostic test would be most helpful?
- A. Bronchoscopy
- B. Sigmoid colonoscopy
- C. Esophagogastroduodenoscopy
- D. Multigated acquisition (MUGA) scan
Correct Answer: C
Rationale: A. Bronchoscopy includes insertion of a bronchoscope to examine the lungs. B. Colonoscopy is used to inspect the large intestines. C. EGD is an invasive procedure in which a lighted instrument (scope) is lowered into the stomach and duodenum to examine gastric tissues and obtain biopsies for cancer cell analysis. Because it is the preferred test to diagnose gastric cancer, the nurse should teach the client about this test. D. A MUGA scan creates video images of the ventricles of the heart to evaluate their correct function in pumping blood. A person who is to receive chemotherapy for cancer treatment may have a MUGA scan completed to identify preexisting heart conditions.
The nurse writes a diagnosis of 'activity intolerance' for a client diagnosed with anemia. Which intervention should the nurse implement?
- A. Encourage isometric exercises.
- B. Assist the client with activities of daily living (ADLs).
- C. Provide a high-protein diet.
- D. Refer to the physical therapist.
Correct Answer: B
Rationale: Assisting with ADLs (B) conserves energy in anemia-related activity intolerance. Isometric exercises (A) strain oxygen capacity, diet (C) is medical, and PT (D) is collaborative.
Which of the following would be the best lunch for a client with folic acid deficiency anemia?
- A. Bologna sandwich and vegetable soup
- B. Grilled cheese sandwich and tomato soup
- C. Coleslaw and cream of mushroom soup
- D. Spinach salad and bean soup
Correct Answer: D
Rationale: Spinach and beans are rich in folate, making this lunch ideal for folic acid deficiency anemia.
The nurse is caring for the client receiving combination chemotherapy of oxaliplatin, fluorouracil, and leucovorin. The nurse should assess the client for which common side effects of this chemotherapy regimen?
- A. Neurotoxicities and diarrhea
- B. Cardiomyopathy and dysphagia
- C. Renal insufficiency and gastritis
- D. Photophobia and stomatitis
Correct Answer: A
Rationale: A. Neurotoxicity and diarrhea occur frequently in clients receiving the medication regimen of oxaliplatin (Eloxatin), fluorouracil (5-FU), and leucovorin (Wellcovorin). B. Cardiomyopathy and dysphagia are not common side effects of these chemotherapy agents. C. Renal insufficiency and gastritis are not common side effects of these chemotherapy agents. D. Photophobia and stomatitis are not common side effects of these chemotherapy agents.
Ferrous sulfate is prescribed for a client. She returns to the clinic in two weeks. Which assessment by the nurse indicates that she has NOT been taking iron as ordered?
- A. The client's cheeks are flushed.
- B. The client reports having more energy.
- C. The client complains of nausea.
- D. The client's stools are light brown.
Correct Answer: D
Rationale: Iron turns stool black. Light brown stools indicate the client has not been taking iron as prescribed. Flushed cheeks, increased energy, and nausea can be associated with iron therapy compliance.