A nurse is providing teaching to a client who has a vitamin B12 deficiency about the potential manifestations of their condition if it is left untreated. Which of the following manifestations should the nurse include in the teaching?
[Select All that Apply)
Mood changes
Mobility challenges
Shortness of breath
Sleep disturbance
Correct Answer : A,B,C,D
A. Mood changes: Deficiency can cause neurological changes, including depression and mood swings.
B. Mobility challenges: Neuropathy and muscle weakness can lead to mobility issues.
C. Shortness of breath: Anemia from B12 deficiency reduces oxygen delivery, causing dyspnea.
D. Visual deficit: Neurological impairment from B12 deficiency can affect the optic nerve, leading to visual disturbances.
E. Sleep disturbance: This is not a typical manifestation of B12 deficiency and is more likely related to other factors.
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Related Questions
Correct Answer is D
Explanation
A. Phlebotomist - Phlebotomists are trained in drawing blood and handling specimens but are not typically trained to verify blood products for transfusion.
B. Assistive personnel - Assistive personnel (e.g., nursing assistants) do not have the required training or authority to verify blood products for transfusion.
C. Senior nursing student - Although a senior nursing student may have some clinical experience, they do not have the qualifications or the responsibility required for this critical safety task.
D. Oncology nurse - An oncology nurse is a registered nurse with specialized training and experience in administering blood products and managing the associated risks, making them qualified to double-check blood labels and patient identification.
Correct Answer is B
Explanation
A. Notifying the provider: This is important but should be done after stopping the transfusion.
B. Stopping the transfusion. Chills and back pain during a blood transfusion can indicate a serious transfusion reaction, such as an acute hemolytic reaction. The priority action is to stop the transfusion immediately to prevent further complications
C. Covering the client with a blanket: This addresses the symptom of chills but does not address the potential life-threatening reaction.
D. Assessing the client's skin for a rash: This is part of the assessment for transfusion reactions but is not the priority compared to stopping the transfusion.
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