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1. Question
The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?
Correct
Answer B is correct.
Rationale: When there are fewer red blood cells, there is less hemoglobin and less oxygen. Therefore, the client is often short of breath, as indicated in answer B. The client with anemia is often pale in color, has weight loss, and may be hypotensive. Answers A, C, and D are within normal and, therefore, are incorrect.
Incorrect
Answer B is correct.
Rationale: When there are fewer red blood cells, there is less hemoglobin and less oxygen. Therefore, the client is often short of breath, as indicated in answer B. The client with anemia is often pale in color, has weight loss, and may be hypotensive. Answers A, C, and D are within normal and, therefore, are incorrect.
ANEMIA
Description
Iron deficiency anemia is a condition that develops as a result of an inadequate amount of serum iron. Anemia predisposes the client to postpartum infection.
Assessment
Fatigue
Headache
Pallor
Tachycardia
Hemoglobin value is usually less than 10 g/dL; hematocrit value is usually less than 30%.
Interventions
Monitor hemoglobin and hematocrit levels every 2 weeks.
Administer and instruct the client about iron and folic acid supplements.
