A patient who is living with AIDS has developed anemia of chronic disease (ACD). Which laboratory results would the nurse attribute to this condition? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Hemoglobin level of 10.4 g/dL
2. Decrease in total erythrocytes
3. Increased transferrin levels
4. Changes in MCHC and MCV
5. Increasing iron depletion over time
2,4,5
Rationale 1: ACD typically presents with a hemoglobin level between 8 and 9.5 g/dL.
Rationale 2: The CBC of patients with ACD usually indicates decreased total erythrocytes.
Rationale 3: Transferrin levels are decreased in all iron deficiency stages of ACD.
Rationale 4: MCHC, MCV, and MCH morphology indices change as ACD progresses.
Rationale 5: As ACD continues, iron is depleted.
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