Which of the following clients are at high risk for developing anemia? Select all that apply
A) A HIV-positive client who is experiencing frequent infection and elevated CD4+ counts
B) A breast cancer client undergoing chemotherapy and radiation therapy
C) A client who had a colectomy 3 weeks ago to remove adhesions and fecal impaction
D) A COPD client with acute exacerbation requiring O2 therapy via C-PAP
E) A middle-aged renal failure client who has hemodialysis three times/week
Ans: A, B, E
Feedback:
Anemia often occurs as a complication of infections, inflammation, and cancer. The most common causes of chronic disease anemias are acute and chronic infections, including AIDS and osteomyelitis; cancers; autoimmune disorders such as rheumatoid arthritis, systemic lupus erythematosus, and inflammatory bowel disease; and chronic kidney disease. Postsurgical clients do experience some blood loss and may become anemic but not always. COPD clients do not routinely have low hemoglobin levels.
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