A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy.
Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia?
Folate
Vitamin B12
Vitamin C
Iron
The Correct Answer is B
Choice A rationale
Folate, also known as vitamin B9, is essential for many functions in the body, including cell growth and division, amino acid metabolism, and the formation of white and red blood cells. However, it is not the treatment for pernicious anemia.
Choice B rationale
Pernicious anemia is a condition where the body cannot absorb enough vitamin B12 in the small intestine, causing a drop in red blood cells. Treatment for pernicious anemia involves vitamin B12 injections or oral supplementation to restore levels to an optimal range, followed by continued injections or oral medications to maintain these levels.
Choice C rationale
Vitamin C is essential for the growth, development, and repair of all body tissues. It’s involved in many body functions, including the formation of collagen, absorption of iron, the immune system, wound healing, and the maintenance of cartilage, bones, and teeth. However, it is not the treatment for pernicious anemia.
Choice D rationale
Iron is a mineral that our bodies need for many functions. For example, iron is part of hemoglobin, a protein which carries oxygen from our lungs throughout our bodies. However, it is not the treatment for pernicious anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Jello is generally well-tolerated by patients with dumping syndrome. It is not high in sugar or fat, which are the main dietary triggers for dumping syndrome symptoms.
Choice B rationale
Coffee with sugar and a glazed donut are foods that should be avoided by patients with dumping syndrome. These foods are high in simple sugars, which can cause rapid gastric emptying and trigger dumping syndrome symptoms.
Choice C rationale
Eggs and toast are generally well-tolerated by patients with dumping syndrome. These foods are not high in simple sugars or fat, which are the main dietary triggers for dumping syndrome symptoms.
Choice D rationale
Spinach and avocado salad is generally well-tolerated by patients with dumping syndrome. This meal is not high in simple sugars or fat, which are the main dietary triggers for dumping syndrome symptoms.
Correct Answer is C
Explanation
Choice A rationale
Assuming a position with legs and rectum lower than the stomach is not typically recommended for managing postoperative abdominal discomfort.
Choice B rationale
Using a straw can actually increase the amount of air swallowed, which can contribute to gas and bloating.
Choice C rationale
Ambulation, or walking, is often recommended after abdominal surgery to help reduce gas buildup and stimulate the digestive system.
Choice D rationale
Drinking cold liquids is not specifically recommended for managing postoperative abdominal discomfort. However, staying hydrated is important
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