When caring for a client with a history of alcoholism, the nurse recognizes that the client is at increased risk for which hematologic problem?
1. Von Willebrand disease
2. Folic acid deficiency
3. Hemolytic anemia
4. Pernicious anemia
Answer: 2
1. Von Willebrand disease is a hereditary bleeding disorder.
2. Excess alcohol intake increases folic acid requirements.
3. Hemolytic anemia is seen following trauma, immune responses, antibody reactions, and certain drugs and toxic agents.
4. Pernicious anemia is caused by vitamin B12 deficiency.
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