Symptom
A client has been living with a diagnosis of aplastic anemia for several years and has experienced recent declines in hemoglobin levels despite active treatment. Which assessment finding would signal a complications of anemia?
What is
Dyspnea (shortness of breath)
A client with chronic anemia is participating in a supervised exercise program. What shouldthe nurse monitor for during physical activity?
What is A client with chronic anemia is participating in a supervised exercise program. What shouldthe nurse monitor for during physical activity?
A client has been experiencing an exacerbation of iron-deficiency anemia in recent weeks.When providing the client with nutritional guidelines and meal suggestions, what foods wouldbe most likely to increase the clients iron stores?
What is Beef liver accompanied by orange juice
How should a nurse evaluate the effectiveness of interventions for a client with anemia after4-6 weeks?
What is Review lab results for increased hemoglobin and hematocrit
The patient reports occasional constipation since starting iron therapy. Which nursingintervention would best help manage this side effect while maintaining iron therapy?
What is Encourage her to drink 6-8 glasses of water daily and maintain adequate dietary fiber.
Which of the following conditions is a common risk factor for developing anemia of chronic disease?
What is Chronic kidney disease (CKD)
A 45-year-old cisgender male comes to the clinic complaining of fatigue and occasional dizziness with exertion. His lab results reveal:
Hemoglobin: 10 g/dL (Normal: 14-18 g/dL)
Serum iron: 40 mcg/dL (Normal: 60-170 mcg/dL)
The patient is diagnosed with Iron-deficiency anemia. Which nursing action is most appropriate?
What is Assess dietary iron intake.
What is an appropriate physical activity recommendation for a client with severe anemia?
What is Encourage mild to moderate activity as tolerated
The patient tells the nurse, I keep forgetting my iron tablets because they upset my stomach.Which nursing intervention would best improve her adherence and minimize gastrointestinalside effects?
What is Suggest taking iron with a small snack if tolerated
A 52-year-old man with chronic kidney disease (CKD) and iron-deficiency anemia has beenattending your outpatient clinic for 1 year. He receives oral iron but reports fatigue,intermittent constipation, and difficulty getting to his lab appointments. His latest hemoglobinis 9.6 g/dL. He lives alone, is on a fixed income, and expresses frustration about "so manypills." Which is the most appropriate nursing action to support the patients chronicmanagement of anemia?
What is Explore barriers to adherence, including transportation and side effects, and collaboratewith the provider/dietitian to adjust the treatment plan
What patient is most at risk for developing aplastic anemia?
A 60-year-old male post-chemotherapy for leukemia
A 68-year-old male with chronic kidney disease reports fatigue and shortness of breath.Labs:
Hemoglobin: 9.0 g/dL (Normal: 14-18 g/dL)
Serum ferritin: 150 ng/mL (Normal: 12-300 ng/mL)
Transferrin saturation: 15% (Normal: 20-50%)
Which nursing intervention is most appropriate?
What is Collaborate with the provider regarding erythropoiesis-stimulating agents and ironsupplementation.
Which method should a nurse use to assess improvement in a clients energy levels?
What is Collect subjective reports
The patient states she does not eat much meat but wants to improve her diet. Which nursingintervention is most appropriate to increase her iron intake?
What is Provide a handout listing plant-based iron sources such as lentils, beans, fortifiedcereals, and encourage pairing with vitamin-C-rich foods.
a 68-year-old man with chronic iron-deficiency anemia related to long-standinggastrointestinal blood loss, attends your outpatient clinic. His hemoglobin remains lowdespite prescribed oral iron. He reports ongoing fatigue, dark stools, constipation, and sayshe sometimes forgets to take his medication because it upsets his stomach. He also hasdifficulty getting transportation to his lab appointments. Using the Clinical Reasoning Cycle,which of the following best represents the "Collect Cues/Information" step for this patient?
What is Asking Mr. R detailed questions about his diet, medication routine, side effects, andtransportation barriers
a 55-year-old patient with chronic iron-deficiency anemia, reports constipationfrom iron therapy and inconsistent adherence. After assessing his situation, you've identifiedthe main issues. Which of the following best illustrates the "Take Action" step of the ClinicalReasoning Cycle for this patient?
What is Teaching the patient to take iron with vitamin-C-rich fluids at bedtime if tolerated,encouraging fluids and fiber, and arranging a stool softener order as needed
a 68-year-old woman with chronic iron-deficiency anemia, has difficulty swallowing large iron tablets and often forgets to take them. She also reports fatigue and lightheadedness. After you've assessed her situation and identified the main issues, which of the following best illustrates the "Take Action" step of the Clinical Reasoning Cycle? (Select 2)
What are Helping her set a daily reminder for dosing
Educating her about liquid or chewable iron options
Patients with chronic anemia should stop taking iron supplements as soon as their fatigueimproves to avoid iron overload.
What is False
Constipation is a common side effect of oral iron therapy, and increasing fluid intake anddietary fiber can help manage this without reducing iron effectiveness.
What is True
Which of the following are risk factors or causes of anemia? (Select all that apply.)
What are
Chronic gastrointestinal bleeding in older adults
Blood loss from menstruation
Vitamin B12 deficiency
Which lab results are consistent with iron-deficiency anemia? (Select 3)
What are
Low hemoglobin
Low ferritin
Low hematocrit
a 52-year-old patient with pernicious anemia, reports fatigue, numbness in his hands and feet, and difficulty walking. Laboratory results show a low serum B12 level. The provider prescribes intramuscular vitamin B12 injections. The patient asks what is the purpose of the injections? Which patient education statement by the nurse is most appropriate?
These injections replace the vitamin B12 your body cannot absorb from food.
A patient with chronic B12 deficiency is prescribed weekly intramuscular B12 injections.What education should the nurse provide?
What are To improve anemia and neurological changes