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1. Question
A nurse should assess a client with hemolytic anemia for weakness, fatigue, malaise, skin and mucous membrane pallor, and:
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Jaundice occurs from the shortened life span of the red blood cell and the breakdown of hemoglobin. About 80% of heme is converted to bilirubin, conjugated in the liver, and excreted in the bile. The increased bilirubin in the blood causes the jaundice. A smooth, red tongue and a craving for ice are seen with iron-deficiency anemia. Folate deficiency occurs in people who rarely eat fresh vegetables.
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Jaundice occurs from the shortened life span of the red blood cell and the breakdown of hemoglobin. About 80% of heme is converted to bilirubin, conjugated in the liver, and excreted in the bile. The increased bilirubin in the blood causes the jaundice. A smooth, red tongue and a craving for ice are seen with iron-deficiency anemia. Folate deficiency occurs in people who rarely eat fresh vegetables.
HYPERBILIRUBINEMIA NCLEX REVIEW
Description
Elevated serum bilirubin level
Evaluation is indicated when serum levels are greater than 12 mg/dL in a term newborn.
Therapy is aimed at preventing kernicterus, which results in permanent neurological damage resulting from the deposition of bilirubin in the brain cells.
