A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse review?
Platelet count.
Liver enzymes.
Complete blood count.
Serum electrolytes.
The Correct Answer is C
Choice A reason: Platelet count is important for clotting but does not directly address the cause of fatigue in pernicious anemia.
Choice B reason: Liver enzymes are important for liver function but are not related to pernicious anemia.
Choice C reason:
The correct answer is c) because a complete blood count (CBC) provides information about hemoglobin and hematocrit levels, which are directly impacted by pernicious anemia and can explain the fatigue.
Choice D reason: Serum electrolytes are important but do not directly address the cause of fatigue in pernicious anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.2"]
Explanation
Calculation steps:
Step 1: Identify the dosage required. 10 mg
Step 2: Identify the concentration available. 50 mg/mL
Step 3: Calculate the volume to be administered. 10 mg ÷ 50 mg/mL
Result: 0.2 mL
Correct Answer is A
Explanation
Choice A reason:
The correct answer is a) because auscultating bowel sounds can help assess for the return of gastrointestinal function and identify potential complications such as ileus, which can cause abdominal pressure and nausea.
Choice B reason: Ambulating the client is important for postoperative recovery but does not directly address the symptoms of abdominal pressure and nausea.
Choice C reason: Palpating the abdomen is also important but should be done after auscultation to avoid altering bowel sounds.
Choice D reason: Measuring urine output is important for monitoring renal function but does not directly address the symptoms of abdominal pressure and nausea.
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