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. "To place my leg under a heat lamp every 3 hours." Using a heat lamp can cause burns and uneven heating, which is not recommended for cellulitis.
B. "I will keep a heating pad on the calf of my right leg when I am lying down." Continuous heat application can cause burns and damage tissues, especially in clients with impaired sensation or circulation.
C. "I will wrap a warm, wet towel around my right calf every 4 hours." Using a warm, wet towel ensures that heat is evenly distributed and provides moist heat, which can help increase blood flow and promote healing in cellulitis.
D. "I will sit on the side of the tub and soak my right leg two times every day." Soaking the leg may not maintain consistent warmth and could also introduce the risk of infection if the water is not clean.
Correct Answer is A
Explanation
A. 1 cup canned black beans - Black beans are high in iron and an excellent dietary recommendation for someone with iron deficiency anemia.
B. 8 oz whole milk - While nutritious, milk is not a significant source of iron and can actually inhibit iron absorption due to its calcium content.
C. 1.5 oz raisins - Raisins do contain some iron, but the amount is relatively small compared to black beans. They are a good supplement but not the best primary source of iron.
D. 8 oz black tea - Tea contains tannins that can inhibit iron absorption, making it an unsuitable recommendation for someone needing to increase their iron levels.
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