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A nurse is providing teaching to a client who has vitamin B12 deficiency. Which of the following foods should the nurse instruct the client to consume? Select all that apply.

Bananas

Eggs

Spinach

Carrots

Beef

Milk

Quinoa

Answer and Explanation

Correct Answer : B,E,F

A. Bananas are not a significant source of vitamin B12.

B. Eggs are a good source of vitamin B12 and should be included in the diet of someone with a deficiency.

C. Spinach contains folate but is not a reliable source of vitamin B12.

D. Carrots are not a source of vitamin B12.

E. Beef is an excellent source of vitamin B12 and should be consumed to help correct the deficiency.

F. Milk is a good source of vitamin B12 and can help increase intake for clients with a deficiency.

G. Quinoa does not contain vitamin B12 and should not be relied upon for addressing this deficiency.

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Correct Answer is D

Explanation

A. Blood transfusions are not a primary treatment for pernicious anemia; they may be used in severe cases but do not address the underlying cause of the condition, which is vitamin B12 deficiency.

B. Daily hydroxyurea is primarily used to treat certain types of cancer and sickle cell disease, not pernicious anemia.

C. Iron supplements are not effective in treating pernicious anemia, as the condition is due to a deficiency of vitamin B12, not iron.

D. Vitamin B injections are the correct intervention for pernicious anemia because the condition results from an inability to absorb vitamin B12 due to a lack of intrinsic factor, making injections necessary to restore vitamin levels.

A. Encourage frequent ambulation in the hallways B. Monitor the client's RBC count every 4 hours C. Treat them in an outpatient setting D. Maintain IV fluids, administer pain medications, and provide supplemental oxygen

Correct Answer is D

Explanation

A. Encouraging frequent ambulation is not appropriate during a vaso-occlusive crisis, as it can exacerbate pain and further compromise blood flow.

B. While monitoring the RBC count is important, it is not the most immediate intervention during a crisis. The focus should be on managing pain and preventing complications.

C. Treating the client in an outpatient setting is inappropriate during a vaso-occlusive crisis, which typically requires inpatient care for effective pain management and hydration.

D. Maintaining IV fluids, administering pain medications, and providing supplemental oxygen are critical interventions that address the acute needs of the client in crisis, aiming to alleviate pain and improve oxygenation.

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A nurse is providing teaching to a client who has vitamin B12 deficiency. Which of the following foods should the nurse instruct the client to consume? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client with pernicious anemia. Which intervention should the nurse plan to implement?

Correct Answer is D

Explanation

The client with sickle cell disease (SCD) has recently been sick and is now experiencing a vaso-occlusive crisis. Which priority interventions should the nurse implement?

Correct Answer is D

Explanation

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