The nurse is assessing a child who has anemia. The child has a yellowish skin color. This skin color is most likely indicative of which of the following conditions associated with severe anemia?
a. increased destruction of red blood cells (RBCs)
b. compensatory polycythemia
c. increased melatonin
d. liver disease
A
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A Correct. The child with a yellowish skin color (jaundice) indicates severe anemia from increased red blood cell destruction. When RBCs are destroyed, they release iron (heme) portion and bilirubin (waste product from the destruction of hemoglobin).
B Incorrect. Yellowish skin color does not indicate compensatory polycythemia.
C Incorrect. Yellowish skin color does not indicate increased melatonin.
D Incorrect. Yellowish skin color can indicate liver disease, but is not the cause in this child. This child has severe anemia with increased destruction of RBCs.
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