Which client should the nurse practitioner (NP) recognize as most at risk of developing iron deficiency
anemia?
A 25-year-old client who recently became pregnant
A 40-year-old client with a history of peptic ulcers
A 30-year-old client who donates blood every 3 months
A 50-year-old client with congestive heart failure - ANSWERA 30-year-old client who donates blood
every 3 months
The nurse practitioner (NP) reviews a client's laboratory results. Which laboratory result best reflects the
client's level of iron stores?
Transferrin saturation
Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity - ANSWERSerum ferritin
The nurse practitioner (NP) is caring for a client with beta thalassemia major. The NP should anticipate
the client will require what? - ANSWERa bloos transfusion
The nurse practitioner (NP) is counseling a client with iron deficiency anemia about dietary needs. Which
instruction(s) should the NP include? Select all that apply.
Avoid drinking tea or coffee with meals
Consume lean red meat
,Increase intake of calcium-rich foods
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals - ANSWERAvoid drinking tea or coffee with meals
Consume lean red meat
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals
A nurse practitioner (NP) is providing pre-conception counseling to a couple, both of whom are carriers
of thalassemia. Which of the following actions should the NP take? Select all that apply.
Encourage the couple not to conceive.
Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss ways to prevent naturally conceiving a child with thalassemia.
Discuss inheritance patterns of thalassemia. - ANSWERRefer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss inheritance patterns of thalassemia.
The nurse practitioner (NP) assesses the client on a follow-up visit after the initiation of treatment for
thalassemia including administration of blood transfusions. What three (3) assessments should the NP
prioritize to evaluate client outcomes? Select 3.
Dietary intake
Developmental milestones
Ferritin level
Hemoglobin level
Energy level - ANSWERFerritin level
Hemoglobin level
Energy level
, Which of the following clients should the nurse practitioner (NP) recognize as being most at risk for
developing vitamin B-12 deficiency anemia?
An infant who is exclusively breastfed
Middle adult client who eats a high-protein diet
A client who is pregnant
Adult client who had a vertical sleeve gastrectomy - ANSWERAdult client who had a vertical sleeve
gastrectomy
Mean Corpuscular Hemoglobin Concentration (MCHC) - ANSWERindicates hemoglobin concentration in
RBCs
Ferritin - ANSWERtotal iron stores; low levels indicate iron deficiency
microlytic anemia - ANSWERsmall RBC's
-iron deficiency
-thalassemia
Thalassemia beta major treatment - ANSWERblood transfusion- will increase iron stores
Chelation therapy-deferasirox & deferiprone
bone marrow transplant
Type 1 hypersensitivity - ANSWERMediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
Type 2 hypersensitivity - ANSWERmediated by IgG antibodies and macrophages
HITT reaction, transfusion reaction, Graves Disease
Graves disease - ANSWERIgG antibodies attach the TSH receptor causing an over production of thyroid
hormones leading the hyperthyroidism
anemia?
A 25-year-old client who recently became pregnant
A 40-year-old client with a history of peptic ulcers
A 30-year-old client who donates blood every 3 months
A 50-year-old client with congestive heart failure - ANSWERA 30-year-old client who donates blood
every 3 months
The nurse practitioner (NP) reviews a client's laboratory results. Which laboratory result best reflects the
client's level of iron stores?
Transferrin saturation
Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity - ANSWERSerum ferritin
The nurse practitioner (NP) is caring for a client with beta thalassemia major. The NP should anticipate
the client will require what? - ANSWERa bloos transfusion
The nurse practitioner (NP) is counseling a client with iron deficiency anemia about dietary needs. Which
instruction(s) should the NP include? Select all that apply.
Avoid drinking tea or coffee with meals
Consume lean red meat
,Increase intake of calcium-rich foods
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals - ANSWERAvoid drinking tea or coffee with meals
Consume lean red meat
Consume iron-fortified cereal
Consume vitamin C-rich foods with iron-rich meals
A nurse practitioner (NP) is providing pre-conception counseling to a couple, both of whom are carriers
of thalassemia. Which of the following actions should the NP take? Select all that apply.
Encourage the couple not to conceive.
Refer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss ways to prevent naturally conceiving a child with thalassemia.
Discuss inheritance patterns of thalassemia. - ANSWERRefer the couple for genetic counseling.
Explain what it means to be a carrier of thalassemia.
Discuss inheritance patterns of thalassemia.
The nurse practitioner (NP) assesses the client on a follow-up visit after the initiation of treatment for
thalassemia including administration of blood transfusions. What three (3) assessments should the NP
prioritize to evaluate client outcomes? Select 3.
Dietary intake
Developmental milestones
Ferritin level
Hemoglobin level
Energy level - ANSWERFerritin level
Hemoglobin level
Energy level
, Which of the following clients should the nurse practitioner (NP) recognize as being most at risk for
developing vitamin B-12 deficiency anemia?
An infant who is exclusively breastfed
Middle adult client who eats a high-protein diet
A client who is pregnant
Adult client who had a vertical sleeve gastrectomy - ANSWERAdult client who had a vertical sleeve
gastrectomy
Mean Corpuscular Hemoglobin Concentration (MCHC) - ANSWERindicates hemoglobin concentration in
RBCs
Ferritin - ANSWERtotal iron stores; low levels indicate iron deficiency
microlytic anemia - ANSWERsmall RBC's
-iron deficiency
-thalassemia
Thalassemia beta major treatment - ANSWERblood transfusion- will increase iron stores
Chelation therapy-deferasirox & deferiprone
bone marrow transplant
Type 1 hypersensitivity - ANSWERMediated by IgE antibody
Anaphylaxis, allergic rhinitis, asthma
Type 2 hypersensitivity - ANSWERmediated by IgG antibodies and macrophages
HITT reaction, transfusion reaction, Graves Disease
Graves disease - ANSWERIgG antibodies attach the TSH receptor causing an over production of thyroid
hormones leading the hyperthyroidism
