MRCP UK EXAMINATIONS

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NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A client with severe anemia reports symptoms of tachycardia, palpitations, exertional dyspnea, cool extremities, and dizziness with ambulation. Laboratory test results reveal low hemoglobin and hematocrit levels. Based on the assessment data, which nursing diagnoses is most appropriate for this client?
A
Imbalanced nutrition, less than body requirements, related to inadequate intake of essential nutrients
B
Ineffective tissue perfusion related to inadequate hemoglobin and hematocrit
C
Fatigue related to decreased hemoglobin and hematocrit
D
Risk for falls related to complaints of dizziness
Explanation: 

Detailed explanation-1: -Iron deficiency anemia is the most common cause of anemia worldwide, which results in microcytic and hypochromic red cells on the peripheral smear. The patient often will have nonspecific complaints such as fatigue and dyspnea on exertion.

Detailed explanation-2: -Symptoms of anemia include paleness of the skin (pallor), fatigue, shortness of breath (dyspnea), dizziness and palpitations.

Detailed explanation-3: -If dietary history suggests a deficiency, patients should be encouraged to augment their diet with foods rich in heme iron such as red meat (full of hemoglobin and myoglobin) or liver. Non-heme iron, which is prevalent in cereals, egg yolk and green leafy vegetables, is not efficiently absorbed.

Detailed explanation-4: -Aplastic anemia occurs when your bone marrow doesn’t make enough red and white blood cells, and platelets.

There is 1 question to complete.
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