Which medication might the nurse question if administered to the client with anemia?

Correct Answer: B

Rationale: Step 1: Anemia is a condition characterized by a decrease in red blood cells or hemoglobin levels. Step 2: Lisinopril is an ACE inhibitor commonly used to treat hypertension, but it can cause anemia as a side effect. Step 3: Administering Lisinopril to a client with anemia can worsen the condition by further reducing red blood cell production. Step 4: Therefore, the nurse should question administering Lisinopril to a client with anemia to avoid exacerbating the condition. Summary: - A (Cipro): An antibiotic, not typically contraindicated in anemia. - C (Acetaminophen): A pain reliever, not directly related to anemia. - D (Ferrous sulfate): Iron supplement, actually used to treat anemia.

Correct Answer: C

Rationale: Step 1: Drinking coffee or tea with meals can inhibit iron absorption due to the presence of tannins and polyphenols. Step 2: Tannins bind to iron, making it less available for absorption in the body. Step 3: Polyphenols in coffee and tea also interfere with iron absorption. Step 4: Therefore, by drinking coffee or tea with meals, the client is hindering the absorption of iron from their diet. Summary: A: Adding dried fruit provides iron and is beneficial for anemia. B: Cooking in iron pots can increase dietary iron intake. D: Adding vitamin C enhances iron absorption, indicating understanding of nutritional counseling. C: Drinking coffee or tea with meals limits iron absorption, indicating a lack of understanding.

Correct Answer: D

Rationale: The correct answer is D because anemia reduces the number of red blood cells, leading to decreased oxygen delivery to tissues, causing fatigue. The nurse's response highlights the underlying issue of inadequate oxygen supply due to anemia. Choice A focuses on sleep duration, which is not directly related to anemia. Choice B mentions iron deficiency, a common cause of anemia, but it does not address the specific issue of oxygen delivery. Choice C suggests rest for sickness, not addressing the chronic fatigue associated with anemia. Thus, the correct answer D provides a clear and logical explanation for the client's tiredness.

Correct Answer: A

Rationale: The correct answer is A: MCH (Mean Corpuscular Hemoglobin). MCH represents the average weight of hemoglobin per red blood cell. The normal range is 27-33 pg. MCV (Mean Corpuscular Volume) measures the average volume of RBCs, not the weight of hemoglobin. MCHC (Mean Corpuscular Hemoglobin Concentration) measures the concentration of hemoglobin in a given volume of packed red blood cells, not the weight of hemoglobin. RDW (Red Cell Distribution Width) measures the variation in RBC size, not the weight of hemoglobin. Therefore, A is correct as it directly relates to the average weight of hemoglobin per red blood cell.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Wilson's disease is a genetic disorder that causes copper to accumulate in the liver. 2. The excess copper can lead to liver damage and various liver problems. 3. Therefore, it is true that Wilson's disease can cause liver problems. Summary: B: False - Incorrect, as Wilson's disease does cause liver problems. C: Sometimes - Incorrect, as Wilson's disease consistently leads to liver problems. D: Only in children - Incorrect, as Wilson's disease can affect individuals of all ages, not just children.