A home health nurse is assessing a client who has pernicious anemia. Which of the following is an expected manifestation that poses a risk to the client's safety?

Loss of hearing

Muscle wasting

Paresthesia

Changes in vision

Answer and Explanation

The Correct Answer is C

C. Paresthesia, or abnormal sensations like tingling, numbness, or burning, is a common neurological manifestation of pernicious anemia due to damage to the peripheral nerves caused by vitamin B12 deficiency. Paresthesia can affect balance and coordination, increasing the risk of falls and injuries, and thus posing a risk to the client's safety.
A. Loss of hearing is not typically associated with pernicious anemia.
B. Muscle wasting is not a typical manifestation of pernicious anemia. However, weakness and fatigue are common symptoms due to anemia resulting from decreased oxygen-carrying capacity of the blood.

D. While changes in vision can impact the client's safety, they are not as directly associated with pernicious anemia as paresthesia, which affects mobility and balance.

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Correct Answer is B

Explanation

B. Urinary incontinence can increase fall risk due to the need for frequent trips to the bathroom, which may increase the chances of tripping or falling, especially if the client rushes to the bathroom.
A. This indicates that the client is aware of their limitations and is proactive in seeking assistance, which may actually decrease their fall risk. It demonstrates awareness and caution.
C. While having a caregiver present can provide support and assistance, it doesn't necessarily indicate an increased fall risk. In fact, having a caregiver present may decrease the risk of falls by providing supervision and assistance as needed.
D. Bronchitis itself does not directly contribute to an increased fall risk.

A. tightness in chest that radiates to left arm B. pain as 7 on a scale of 0 to 10 C. feel nauseous after breakfast D. Client is diaphoretic and short of breath E. Heart rate is irregular and tachycardic F. Lungs clear to auscultation in all lobes G. Bowel sounds are present in all 4 quadrants H. +1 pedal pulses. I. Capillary refill less than 2 seconds J. Skin is cool to touch.

Correct Answer is ["A","B","C","D","E","J"]

Explanation

The client is having typical signs and symptoms of acute coronary syndrome - pain radiating to the left arm, nausea, diaphoresis, shortness of breath and tachycardia

Her diet history - daily bacon and eggs increases her cardiovascular risk

Her cool skin and weak peripheral pulses is an indication of poor perfusion due to impaired myocardial contractility due to myocardial infarction.

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A home health nurse is assessing a client who has pernicious anemia. Which of the following is an expected manifestation that poses a risk to the client's safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a fall risk assessment on a client. Which of the following findings indicates the client has an increased fall risk?

Correct Answer is B

Explanation

Correct Answer is ["A","B","C","D","E","J"]

Explanation

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