Hemolytic anemia
Hemolytic anemia ( 15 Questions)
The client's laboratory results show low hemoglobin, low hematocrit, normal MCV, and high reticulocyte count.
Which of the following statements by the client indicates a need for further education regarding their condition?
The statement, "My reticulocyte count is higher than normal," indicates that the client has an understanding of their condition. In hemolytic anemia, the bone marrow releases more reticulocytes (immature red blood cells) in response to the low hemoglobin levels to compensate for the destruction of red blood cells.
The statement, "I have a lower-than-normal hematocrit level," is a correct assessment of the client's condition. Hemolytic anemia typically results in low hematocrit levels due to the decreased number of red blood cells.
The statement, "My MCV is within the normal range," is incorrect. In hemolytic anemia, MCV (mean corpuscular volume) is often elevated because the remaining red blood cells are larger than normal. This statement indicates a need for further education as it reflects a misunderstanding of the laboratory results.
The statement, "My hemoglobin level falls within the expected range," is incorrect. Hemolytic anemia typically results in low hemoglobin levels due to the destruction of red blood cells. This statement indicates a need for further education as it reflects a misunderstanding of the laboratory results.
Choice A rationale:
The statement, "My reticulocyte count is higher than normal," indicates that the client has an understanding of their condition.
In hemolytic anemia, the bone marrow releases more reticulocytes (immature red blood cells) in response to the low hemoglobin levels to compensate for the destruction of red blood cells.
Choice B rationale:
The statement, "I have a lower-than-normal hematocrit level," is a correct assessment of the client's condition.
Hemolytic anemia typically results in low hematocrit levels due to the decreased number of red blood cells.
Choice C rationale:
The statement, "My MCV is within the normal range," is incorrect.
In hemolytic anemia, MCV (mean corpuscular volume) is often elevated because the remaining red blood cells are larger than normal.
This statement indicates a need for further education as it reflects a misunderstanding of the laboratory results.
Choice D rationale:
The statement, "My hemoglobin level falls within the expected range," is incorrect.
Hemolytic anemia typically results in low hemoglobin levels due to the destruction of red blood cells.
This statement indicates a need for further education as it reflects a misunderstanding of the laboratory results.