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 C
Explanation
A. Cashews: Cashews contain iron, but the amount is relatively low compared to other sources like red meat.
B. Oranges: Oranges are high in vitamin C, which aids iron absorption, but they are not a significant source of iron.
C. Red meat: Red meat is an excellent source of heme iron, which is highly bioavailable and effectively addresses iron deficiency.
D. Yogurt: Yogurt is not a significant source of iron. It contains other nutrients, but it is not relevant for increasing iron intake.
Correct Answer is A
Explanation
A. Obtain a venous duplex ultrasound. These symptoms suggest a deep vein thrombosis (DVT), and a venous duplex ultrasound is the standard diagnostic test to confirm the presence of a thrombus in the veins.
B. Obtain impedance plethysmography: This is less commonly used than ultrasound and may not provide as clear a diagnosis.
C. Monitor Homan's sign: Homan's sign is no longer considered reliable or safe for diagnosing DVT due to the risk of dislodging a thrombus.
D. Apply cold therapy to the affected leg: Cold therapy is not appropriate for DVT as it does not treat the underlying issue and could potentially cause vasoconstriction, worsening the condition.
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