An older client is diagnosed with hemolytic anemia. What will the nurse teach the client about this disorder?
1. It is caused by blood loss.
2. It will be treated with folic acid.
3. It causes the red blood cells to be misshaped.
4. It is associated with decreased immature red blood cells.
2. It will be treated with folic acid.
Explanation: 1. Hemolytic anemia is more common with aging and is caused by red blood cell destruction, not from blood loss.
2. All hemolytic anemias require treatment with folic acid because this vitamin is consumed by the increased bone marrow production of red blood cells in response to the anemia.
3. The red blood cell is of normal size and shape in hemolytic anemia. Sickle cell anemia is evidenced by misshapen red blood cells.
4. Hemolytic anemia causes an increase in immature red blood cells because they are released early from the bone marrow to compensate for the premature destruction.
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