A nurse is collecting data from a client who has pernicious anemia. The nurse should identify that which of the following findings increases the client's risk for injury?
Uses a firm-bristled toothbrush
Increased intake of green, leafy vegetables
Drinks 2,500 mL of fluid per day
Wears a face mask around others
The Correct Answer is A
Choice A Reason:
Uses a firm-bristled toothbrush is correct. Clients with pernicious anemia often have neurological symptoms due to vitamin B12 deficiency. One of these neurological symptoms can be impaired proprioception, which is the body's ability to sense its position and movement in space. Using a firm-bristled toothbrush can increase the risk of injury because the client may have difficulty with fine motor skills and controlling the pressure applied to their teeth and gums, leading to potential gum injury or bleeding.
Choice B Reason:
Increased intake of green, leafy vegetables is incorrect. Increasing the intake of foods rich in vitamin B12, such as green, leafy vegetables, can be beneficial for clients with pernicious anemia, as it can help with vitamin B12 absorption and overall health.
Choice C Reason:
Drinks 2,500 mL of fluid per day is incorrect. Maintaining adequate hydration is essential for overall health and does not increase the risk of injury.
Choice D Reason:
Wears a face mask around others is incorrect. Wearing a face mask around others, especially in situations where respiratory precautions are necessary, is a preventive measure to reduce the risk of infection and does not inherently increase the risk of injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
b. Increased urinary output.
Furosemide is a diuretic medication that helps remove excess fluid from the body by increasing urine production and output. In a client with heart failure, one of the indicators that the medication is effective is an increase in urinary output. This can help reduce fluid buildup in the body, which can improve symptoms of heart failure.
Correct Answer is B
Explanation
Choice A Reason:
Presenting information from complex to simple: While it's important to simplify complex medical information, presenting it from complex to simple in a brochure may not be the best approach for general public education. Starting with complex information could potentially overwhelm and confuse readers.
Choice B Reason:
Write the information at an 8th-grade reading level is correct. When developing educational materials like brochures for the community, it's important to use language that is easily understandable by the target audience. Writing the information at an 8th-grade reading level ensures that the content is accessible to a wide range of individuals with varying levels of education and literacy. This approach promotes effective communication and helps ensure that more people can access and understand the information about hypertension and its management.
Choice C Reason:
Explaining medical terminology using basic, one-syllable words: While simplifying medical terminology is essential, using only one-syllable words may oversimplify the content and may not adequately convey important information about hypertension.
Choice D Reason:
Using a 12-point font size: Font size is important for readability, but using a specific font size like 12-point may not be sufficient on its own to ensure readability. Factors such as the choice of font style, spacing, and layout are also critical for making the brochure easy to read.
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