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CCRN Critical Care Nursing

Category - Adult

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A nurse is assessing a patient for signs and symptoms of severe anemia. Besides the lab values and vital signs what observations in the physical assessment would give indication that the patient is severely anemic?

A bluish color over the abdomen.
Pedal edema.
Abnormalities in the patient’s nails.
A jerking of the wrist and arm when the blood pressure cuff is applied.

Explanation

Answer: C - Besides lab values and vital signs, the patient with severe anemia may show abnormalities in the nails such as spoon shape, long shaped striations and clubbing. In addition, the patient may have retinal hemorrhages.

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CCRN Critical Care Nursing

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CCRN Critical Care Nursing

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