HESI Exit Exam A
A 36-year-old female presents at the clinic with symptoms of fatigue, palpitations, tinnitus, and excessive tiredness with activity. These symptoms have gradually increased in severity over the last 2 months. The nurse suspects anemia. For each statement, select whether it is consistent with Iron deficiency anemia, Vitamin B12 deficiency anemia, or Folic acid deficiency anemia. Each statement can have more than one correct answer.
Explanation & Rationale
Choice A rationale Chronic alcoholism is often associated with both Vitamin B12 and Folic acid deficiency anemia. Alcohol interferes with the absorption of these vitamins in the gut, leading to their deficiency. Choice B rationale Malabsorption syndrome can lead to Iron deficiency anemia, Vitamin B12 deficiency anemia, and Folic acid deficiency anemia. In malabsorption syndrome, the small intestine can’t absorb enough of certain nutrients and fluids. Choice C rationale Dietary deficiency can result in Iron deficiency anemia, Vitamin B12 deficiency anemia, and Folic acid deficiency anemia. These types of anemia can occur when the body doesn’t have enough of the vitamins needed to produce enough healthy red blood cells.
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