Tripura CHO - 2021
Medical & Surgical Nursing
Easy

A woman is diagnosed to have severe anemia when the hemoglobin is below?

Appeared in: Tripura CHO - 2021

Explanation

  • A hemoglobin level below 7 g/dL is classified as severe anemia in an adult woman.
  • This level indicates a significant reduction in the blood's oxygen-carrying capacity, often leading to pronounced symptoms and requiring urgent medical evaluation.
  • Clinical guidelines often use a threshold of 7 g/dL to consider interventions like blood transfusions, especially in symptomatic patients or those with acute bleeding.

Why Other Options Were Wrong

  • Option B: A hemoglobin level of 10 g/dL is classified as moderate anemia, not severe.
  • Option C: A hemoglobin level of 11 g/dL is considered mild anemia.
  • Option D: A hemoglobin level below 12 g/dL is the general diagnostic cutoff for any degree of anemia in a non-pregnant woman, not specifically severe anemia.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of anemia based on hemoglobin levels in adult women as background academic context rather than a clinical decision trigger.
  • Nurses must recognize the signs of severe anemia (e.g., severe fatigue, shortness of breath at rest, tachycardia, chest pain) as it can lead to life-threatening complications like high-output heart failure.
  • A key nursing responsibility is to monitor vital signs, assess for symptoms of poor tissue oxygenation, and prepare for potential interventions such as blood product administration when a patient's hemoglobin drops to a severe level.
  • What if? If the patient were pregnant, the general threshold for anemia is lower (less than 11 g/dL). However, a level below 7 g/dL would still be considered severe and requires immediate attention due to significant risks to both mother and fetus.
How to Approach the Question
  • First, identify the key terms in the question: 'severe anemia,' 'woman,' and 'hemoglobin below'.
  • This is a factual recall question that requires knowledge of the standard medical classifications for anemia severity.
  • Recall the World Health Organization (WHO) criteria for anemia grades in adult, non-pregnant females.
  • Compare the given options to the standard classifications: Mild (11.0-11.9 g/dL), Moderate (8.0-10.9 g/dL), and Severe (less than 8.0 g/dL, with less than 7.0 g/dL being a common clinical marker for 'severe').
  • Select the option that most accurately represents the threshold for severe anemia.
Concept Tested & Keywords
  • Concept Tested: Classification of anemia based on hemoglobin levels in adult women.
  • Stem keywords: severe anemia, hemoglobin, woman
  • Lead-in keywords: below

Question ID

QDIvbDnnWOE7dcIa3TMI8e

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 158-160

E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 351-353

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 3 p. 130-132

Practise the full Tripura CHO - 2021

Attempt every question from this paper in a timed mock, then review the full solution for each one.