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    PN Comprehensive Predictor 2023 Proctored Exam

    A nurse is reviewing the laboratory results of a client and finds both their iron and vitamin B levels are below the expected reference range. The nurse should monitor the client for which of the following conditions?

    Explanation & Rationale

    A. Leukemia: Leukemia primarily affects white blood cell production and bone marrow function. While it can cause anemia, low iron and vitamin B levels are more directly related to nutritional deficiencies rather than a primary hematologic malignancy. B. Hepatitis: Hepatitis involves inflammation of the liver and may affect liver function tests, bilirubin, and clotting factors. It does not typically cause concurrent deficiencies in iron and vitamin B unless chronic malnutrition or malabsorption is present. C. Anemia: Low iron and vitamin B (particularly B12 or folate) directly impair red blood cell production, leading to various types of anemia, such as iron-deficiency anemia or megaloblastic anemia. Monitoring for pallor, fatigue, and laboratory indicators of anemia is essential for appropriate management. D. Steatotic liver disease: Fatty liver disease affects hepatocytes and liver metabolism but is not typically associated with primary deficiencies in iron and vitamin B. Nutritional deficiencies may coexist but are not the direct cause of laboratory abnormalities in this context.

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