Author Question: A nurse is preparing an educational program on hemolytic anemia for the residents of an assisted ... (Read 32 times)

rl · **on:** Jul 22, 2018

A nurse is preparing an educational program on hemolytic anemia for the residents of an assisted living center. Which of the following potential causes does the student need to include in the program? (Select all that apply.)

1. Prosthetic heart valves
2. Aspirin use
3. Ibuprofen use
4. Acetaminophen use
5. Dietary increase of iron

Question 2

The nurse is caring for an older client and understands that renal failure will also place this client at risk for which of the following?

1. Loss of appetite related to elevated blood urea nitrogen (BUN) and creatinine levels
2. The result of renal dialysis
3. Loss of blood through the urine because the failing kidney does not function properly
4. Loss of the kidney hormone erythropoietin

moormoney · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Prosthetic heart valves
2. Aspirin use
3. Ibuprofen use

Rationale:
Prosthetic heart valves and medications such as aspirin and ibuprofen are associated with hemolytic anemia. Acetaminophen use is not associated with hemolytic anemia. Hemolytic anemia is not associated with diet.

Answer to Question 2

4. Loss of the kidney hormone erythropoietin

Rationale:
The anemia associated with renal failure is related to the loss of erythropoietin, which is produced by the healthy kidney and stimulates bone marrow to produce red blood cells. The anemia is not directly related to anorexia or hemodialysis, although these factors may be somewhat associated with the anemia. Renal failure causes the loss of protein, not blood, through the urine.