Practice Question
A 36-year-old female arrives at the clinic with reports of fatigue, palpitations, ringing in the ears, and excessive tiredness with activity.
Answer Choices:
Rationale:
🔷 The client’s generalized fatigue, mild headache, and ringing in the ears ("roaring") suggest decreased oxygen delivery to tissues, which is a hallmark of iron-deficiency anemia secondary to chronic blood loss.
🔷 The tachycardia (heart rate 105 beats/min) indicates a compensatory cardiovascular response to low hemoglobin levels, as the heart works harder to circulate oxygenated blood.
🔷 Mild anorexia with 8 lb (3.6 kg) unintentional weight loss over 2 months points to nutritional deficiency or increased metabolic demand caused by chronic illness or anemia.
🔷 Chronic dysmenorrhea with heavy menstrual bleeding is the most likely source of chronic blood loss, leading to iron depletion.
🔷 A palpable uterus one finger breadth above the pubic symphysis suggests possible uterine enlargement (e.g., fibroids), which can exacerbate menorrhagia, further contributing to iron-deficiency anemia.
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This question is from RN HESI Medsurg Nursing 1 Exam 2(HU NSG123/128) which contains 49 questions.
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From Exam
RN HESI Medsurg Nursing 1 Exam 2(HU NSG123/128)
49 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi MedSurg
- Answer Choices: 1