A patient has been living with a diagnosis of anemia for several years and has experienced recent declines in her hemoglobin levels despite active treatment. What assessment finding would signal complications of anemia?
A) Venous ulcers and visual disturbances
B) Fever and signs of hyperkalemia
C) Epistaxis and gastroesophageal reflux
D) Ascites and peripheral edema
Ans: D
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A significant complication of anemia is heart failure from chronic diminished blood volume and the heart's compensatory effort to increase cardiac output. Patients with anemia should be assessed for signs and symptoms of heart failure, including ascites and peripheral edema. None of the other listed signs and symptoms is characteristic of heart failure.
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