Name That Anemia
Lab Work 101
Nursing Priorities
True or False
100

A 70-year-old presents with fatigue, glossitis, paresthesia, and an MCV > 100 fL. What type of anemia do they have?

What is pernicious anemia?

100

What is the normal hemoglobin (Hgb) range for an adult female?

What is 12-16 g/dL?

100

A patient with sickle cell crisis reports severe pain. What is the priority intervention?

What are IV fluids and pain medications?

100

"Cold compresses are recommended for sickle cell crisis pain management."

False – Use warm compresses to prevent vasoconstriction.

200

A patient with a history of heavy menstrual bleeding has low hemoglobin, low MCV, and low ferritin. What type of anemia do they have?

What is Iron deficiency anemia?

200

Another name for iron deficiency anemia?

What is microcytic anemia?

200

A patient with pernicious anemia is newly diagnosed. What is the priority treatment?

What is Vitamin B12 injections?

200

"Iron supplements should be taken with milk to improve absorption."

False – Dairy inhibits iron absorption; take with vitamin C.

300

A patient with sickle cell anemia is experiencing severe joint pain, tachycardia, and jaundice. What complication are they experiencing?

What is sickle cell crisis?

300

What lab value best indicates iron storage in the body?

What is ferritin?

300

A post-op patient develops sudden shortness of breath and has a low hemoglobin level. What is the first nursing action?

What is oxygen and monitor vital signs?

300

"People with pernicious anemia must take vitamin B12 for life."

True

400

A vegetarian patient with fatigue and low vitamin B12 levels but normal intrinsic factor. What type of anemia do they have?

What is Dietary vitamin B12 deficiency anemia?

400

What lab test is used to confirm the diagnosis of sickle cell disease?  

What is hemoglobin electrophoresis?

400

A patient receiving iron supplements complains of constipation. What should the nurse recommend?

What is increase fiber and fluid intake, and consider a stool softener?

400

"Pernicious anemia is caused by a lack of dietary iron."

False – It is caused by a lack of intrinsic factor, leading to vitamin B12 malabsorption.

500

A pregnant woman reports fatigue, pale skin, and pica (craving ice). Her labs show low hemoglobin, low hematocrit, low MCV, and low ferritin. What type of anemia does she have?

What is iron deficiency anemia?

500

A patient with iron deficiency anemia is prescribed ferrous sulfate. What lab value should the nurse monitor to assess treatment effectiveness?

What is hemoglobin and ferritin levels?

500

A patient with chronic anemia reports dizziness upon standing. What is the priority safety measure?

What is implement fall precautions and assist with ambulation? 

500

"Patients with sickle cell anemia should avoid dehydration and high altitudes."

True