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?"
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.
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