The nurse is caring for a patient with anemia. Which of the following laboratory results would the nurse recognize as being indicative of anemia? (Select all that apply.)
a. RBC = 4.4 ? 1,012/L in a 31-year-old male
b. RBC = 5.7 ? 1,012/L in a 43-year-old female
c. MCV = 72/mm3 in a 19-year-old female
d. RDW = 12% in a 28-year-old female
e. WBC = 7 ? 109/L in a 39-year-old male
ANS: A, C, F
The normal number of red blood cells per mm of blood for a man is 4.7 to 6.1 ? 1,012/L; for a female is 4.2 to 5.4 ? 1,012/L; low values indicate anemia. Mean corpuscular volume (MCV) and red blood cell distribution width (RDW) are used to help determine the cause of anemia. C is low and indicative of anemia. D is normal. E, F. White blood cell (WBC) count is indicative of immune function and is not used to determine the presence of anemia.
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