MRCP UK EXAMINATIONS

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NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse provides care for an older adult client, diagnosed with anemia, who has a hemoglobin of 9.6 g/dL and a hematocrit of 34%. To determine the cause of the client’s blood loss, which is the priority nursing action?
A
Evaluate the client’s dietary intake.
B
Monitor the client’s blood pressure.
C
Monitor the client’s body temperature.
D
Observe the client’s stools for blood.
Explanation: 

Detailed explanation-1: -1. Answer: D. Between 7 and 10 g/dl. A patient with sickle cell anemia has a hemoglobin level of between 7 and 10 g/dl.

Detailed explanation-2: -Monitor CBC. Assess the patient’s complete blood count including red blood count and hemoglobin levels. These will be low in anemic patients.

Detailed explanation-3: -Iron deficiency anemia was reported to be very common in post-gastrectomy patients at twenty five to thirty years after surgery[20]. Iron deficiency after gastrectomy or bypass results from malabsorption of iron because of a surgically altered gastrointestinal tract.

Detailed explanation-4: -Nursing Interventions for Pernicious Anemia Educate about importance of eating enough foods with iron, vitamin C, and folic acid because these nutrients play a role in red blood cell production as well.

There is 1 question to complete.
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