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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 B

Explanation

A. Distended jugular veins may indicate fluid overload or congestive heart failure, not an allergic reaction.

B. Generalized urticaria, or hives, is a classic sign of an allergic transfusion reaction, presenting as an itchy rash or welts on the skin.

C. Bilateral flank pain is more indicative of a hemolytic reaction, particularly due to kidney involvement, rather than an allergic reaction.

D. A blood pressure of 184/92 mm Hg may suggest hypertension or a reaction, but it is not specific to allergic transfusion reactions, which are characterized by skin symptoms like urticaria.

A. "You are not taking deep breaths, and that is causing your pain." B. "Your red blood cells are not the correct shape, and that causes blood flow to become blocked." C. "You have a genetic disorder, and the mutated gene causes increased pain." D. "You are anemic, and the lack of hemoglobin causes pain."

Correct Answer is B

Explanation

A. While deep breathing can help alleviate pain, it is not the primary cause of pain in sickle cell anemia; this response could minimize the client's experience.

B. Sickle cell anemia causes red blood cells to become rigid and shaped like a sickle, which can obstruct blood flow and lead to vaso-occlusive crises, resulting in pain.

C. Although sickle cell anemia is a genetic disorder, simply stating that the mutated gene causes increased pain is too vague and does not explain the pain mechanism adequately.

D. While anemia can contribute to fatigue and some discomfort, the pain in sickle cell anemia is primarily due to the sickling of red blood cells and subsequent blockage of blood flow, rather than just the lack of hemoglobin.

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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 monitoring a client receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?

Correct Answer is B

Explanation

A nurse is caring for a client with sickle cell anemia. The client asks, "Why am I in so much pain?" What is an appropriate response from the nurse to make to this client?

Correct Answer is B

Explanation

A nurse is caring for a client with Acquired Immunodeficiency Syndrome (AIDS). Which client statement demonstrates a need for further education?

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.

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?

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