Author Question: A client with iron-deficiency anemia has a low hemoglobin level. Which is a priority nursing ... (Read 25 times)

Engineer · **on:** Jul 23, 2018

A client with iron-deficiency anemia has a low hemoglobin level. Which is a priority nursing diagnosis for this client?

Standard Text: Select all that apply.

1. Constipation, Risk for
2. Nutrition, Imbalanced: Less than Body Requirements
3. Tissue Perfusion: Peripheral, Risk for Ineffective
4. Knowledge, Deficient, related to anemia

Question 2

A client is in acute renal failure. During this period, the client's erythrocyte count might drop. The nurse understands that this might be due to a deficiency of which substance?

1. Renin
2. Angiotensin
3. Erythropoietin
4. Aldosterone

14vl19 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2, 3
Rationale 1: Risk for Constipation is not a priority nursing diagnosis for this client.
Rationale 2: The client's diet might be missing iron in iron-deficiency anemia.
Rationale 3: Hemoglobin is carried on erythrocytes and is responsible for transporting oxygen to the tissues.
Rationale 4: Knowledge Deficient might exist, but it is not the priority nursing diagnosis.
Global Rationale: Hemoglobin is carried on erythrocytes and is responsible for transporting oxygen to the tissues; therefore, Risk for Impaired Tissue Perfusion is a priority nursing diagnosis. The other diagnoses may be pertinent but they are not the priority for this client.

Answer to Question 2

Correct Answer: 3
Rationale 1: Renin is not responsible for erythrocyte production.
Rationale 2: Angiotensin is the precursor for angiotensin II and is not involved in erythrocyte production.
Rationale 3: Erythrocyte homeostasis is controlled by erythropoietin, a hormone secreted by the kidney in response to low oxygen levels in the blood.
Rationale 4: Aldosterone is not responsible for erythrocyte production.
Global Rationale: Erythrocyte homeostasis is controlled by erythropoietin, a hormone secreted by the kidney in response to low oxygen levels in the blood. Renin is not responsible for erythrocyte production. Angiotensin is the precursor for angiotensin II and is not involved in erythrocyte production. Aldosterone is not responsible for erythrocyte production.