A nurse is teaching a client with a history of ulcerative colitis and a new diagnosis of anemia. Which of the following symptoms from ulcerative colitis is a contributing factor to the development of anemia?
Dietary iron restrictions
Intestinal parasites
Chronic bloody diarrhea
Intestinal malabsorption syndrome
The Correct Answer is C
A. Dietary iron restrictions may affect iron intake, but they are not a direct symptom of ulcerative colitis that contributes to anemia.
B. Intestinal parasites can cause anemia but are not a common complication associated with ulcerative colitis.
C. Chronic bloody diarrhea is a significant symptom of ulcerative colitis and leads to iron loss and depletion, contributing to the development of anemia due to the loss of blood and iron.
D. Intestinal malabsorption syndrome can lead to anemia; however, it is not a primary symptom of ulcerative colitis itself, making chronic bloody diarrhea the more direct contributing factor.
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Correct Answer is ["A","C","D","E"]
Explanation
A. Hemoglobin level is a key component of the CBC, reflecting the oxygen-carrying capacity of the blood.
B. Blood glucose level is not part of the CBC; it is typically measured separately in metabolic panels or glucose tests.
C. White blood cell count is included in the CBC and is important for assessing the immune response.
D. Platelet count is also part of the CBC and is essential for evaluating clotting function.
E. Red blood cell count is included in the CBC and is crucial for assessing overall blood health and anemia status.
Correct Answer is B
Explanation
A. While deep breathing can help alleviate pain, it is not the primary cause of pain in sickle cell anemia; this response could minimize the client's experience.
B. Sickle cell anemia causes red blood cells to become rigid and shaped like a sickle, which can obstruct blood flow and lead to vaso-occlusive crises, resulting in pain.
C. Although sickle cell anemia is a genetic disorder, simply stating that the mutated gene causes increased pain is too vague and does not explain the pain mechanism adequately.
D. While anemia can contribute to fatigue and some discomfort, the pain in sickle cell anemia is primarily due to the sickling of red blood cells and subsequent blockage of blood flow, rather than just the lack of hemoglobin.