Hemolytic anemia
Hemolytic anemia ( 15 Questions)
A nurse is caring for a client with hemolytic anemia.
The client presents with pallor, fatigue, tachycardia, and jaundice.
Which of the following additional clinical manifestations should the nurse anticipate in this client?
"I have noticed that my urine has become very dark lately." Dark urine is a common clinical manifestation of hemolysis, as it indicates the presence of hemoglobin in the urine, known as hemoglobinuria.
"My abdomen feels swollen and uncomfortable." Abdominal discomfort or swelling is not a specific clinical manifestation of hemolytic anemia. It may be associated with conditions like splenomegaly but is not a characteristic sign of hemolysis.
"I have been experiencing painful episodes in my bones." Painful episodes in the bones are not typically associated with hemolytic anemia. Bone pain may be related to other conditions but is not a direct result of hemolysis.
"I have been having severe headaches and chest pain." Severe headaches and chest pain are not specific clinical manifestations of hemolytic anemia. These symptoms may have other causes and should be evaluated separately.
"I have noticed that my urine has become very dark lately." Dark urine is a common clinical manifestation of hemolysis, as it indicates the presence of hemoglobin in the urine, known as hemoglobinuria.
This is a result of the breakdown of red blood cells and release of hemoglobin into the bloodstream.
Choice B rationale:
"My abdomen feels swollen and uncomfortable." Abdominal discomfort or swelling is not a specific clinical manifestation of hemolytic anemia.
It may be associated with conditions like splenomegaly but is not a characteristic sign of hemolysis.
Choice C rationale:
"I have been experiencing painful episodes in my bones." Painful episodes in the bones are not typically associated with hemolytic anemia.
Bone pain may be related to other conditions but is not a direct result of hemolysis.
Choice D rationale:
"I have been having severe headaches and chest pain." Severe headaches and chest pain are not specific clinical manifestations of hemolytic anemia.
These symptoms may have other causes and should be evaluated separately.