This topic contains a solution. Click here to go to the answer

Author Question: Which client is most likely to require a folic acid supplement to treat anemia? 1. A client who ... (Read 126 times)

bclement10

  • Hero Member
  • *****
  • Posts: 560
Which client is most likely to require a folic acid supplement to treat anemia?
 
  1. A client who has a forearm arterial-venous shunt and is scheduled for dialysis three times weekly
  2. A client who has a history of chronic heart failure with multiple exacerbations
  3. A client who has a history of chronic heavy alcohol intake
  4. A client who has a history of type 2 diabetes mellitus

Question 2

Morphology reports on a blood smear from a client who has documented anemia show normocytic-normochromic red blood cells. Which assessment questions should the nurse ask to further identify the etiology of this anemia?
 
  Standard Text: Select all that apply.
  1. Do you eat enough foods that contain iron?
  2. Have you experienced any episodes of bleeding?
  3. Do you follow a strict vegetarian diet?
  4. Do you get enough folate in your diet?
  5. Do you work around any strong chemicals?



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

CourtneyCNorton

  • Sr. Member
  • ****
  • Posts: 317
Answer to Question 1

Correct Answer: 3
Rationale 1: Folic acid is not primary therapy in the management of kidney-failure anemia, which responds better to epoetin alfa.
Rationale 2: Folic acid is not useful in the management of chronic heart failure. However, folic acid might be ordered for another reason related to its effects on long-term vascular health.
Rationale 3: Folic acidrelated anemia is usually associated with poor nutrition. Ethanol interferes with folate metabolism in the liver, and the alcoholic's diet is often low in the nutrient.
Rationale 4: Folic acid is not useful in the management of type 2 diabetes.
Global Rationale: Folic acidrelated anemia is usually associated with poor nutrition. Ethanol interferes with folate metabolism in the liver, and the alcoholic's diet is often low in the nutrient. Folic acid is not primary therapy in the management of kidney-failure anemia, which responds better to epoetin alfa. Folic acid is not useful in the management of chronic heart failure. However, folic acid might be ordered for another reason related to its effects on long-term vascular health. Folic acid is not useful in the management of type 2 diabetes.

Answer to Question 2

Correct Answer: 2,5
Rationale 1: Iron deficiency anemia results in microcytic-hypochromic red blood cells.
Rationale 2: Hemorrhagic anemia results in normocytic-normochromic red blood cells.
Rationale 3: Pernicious anemia can result from inadequate B12 intake, which can occur in a client on a strict vegetarian diet. Pernicious anemia results in macrocytic-normochromic red blood cells.
Rationale 4: Folate deficiency results in macrocytic-normochromic red blood cells.
Rationale 5: Exposure to some chemicals can result in hemolytic anemia. Hemolytic anemia results in normocytic-normochromic red blood cells.
Global Rationale: Hemorrhagic anemia results in normocytic-normochromic red blood cells. Exposure to some chemicals can result in hemolytic anemia. Hemolytic anemia results in normocytic-normochromic red blood cells. Iron deficiency anemia results in microcytic-hypochromic red blood cells. Pernicious anemia can result from inadequate B12 intake, which can occur in a client on a strict vegetarian diet. Pernicious anemia results in macrocytic-normochromic red blood cells. Folate deficiency results in macrocytic-normochromic red blood cells.




bclement10

  • Member
  • Posts: 560
Reply 2 on: Jul 23, 2018
Excellent


vickybb89

  • Member
  • Posts: 347
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Did you know?

As the western states of America were settled, pioneers often had to drink rancid water from ponds and other sources. This often resulted in chronic diarrhea, causing many cases of dehydration and death that could have been avoided if clean water had been available.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

Did you know?

Your heart beats over 36 million times a year.

For a complete list of videos, visit our video library