A patient who had a large portion of the stomach surgically removed will need to receive vitamin B12 for life due to which condition?
Acquired hemolytic anemia
Pernicious anemia
Iron-deficiency anemia
Sickle cell anemia
The Correct Answer is B
Choice A rationale
Acquired hemolytic anemia is a condition where the body destroys red blood cells faster than it can produce them, but it is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.
Choice B rationale
Pernicious anemia is a condition that can develop in patients who have had a large portion of their stomach surgically removed. This is because the stomach plays a crucial role in the absorption of vitamin B12. Without sufficient stomach tissue, the body may not be able to
absorb enough vitamin B12 from food, leading to a deficiency. Therefore, these patients often require lifelong vitamin B12 supplementation.
Choice C rationale
Iron-deficiency anemia is typically caused by a lack of iron in the diet, not a lack of vitamin B12. Therefore, patients with this condition would not typically require lifelong vitamin B12 supplementation following stomach surgery.
Choice D rationale
Sickle cell anemia is a genetic disorder that affects the shape and function of red blood cells. It is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Drinking a glass of water with each meal is not typically recommended for patients with dumping syndrome. In fact, it’s often suggested to avoid drinking liquids until at least 30 minutes after a meal.
Choice B rationale
Increasing protein in the diet is indeed a good recommendation for a patient with dumping syndrome. High-protein foods can help to slow the rate of gastric emptying and reduce symptoms.
Choice C rationale
Eating three moderate-sized meals a day might not be the best advice for a patient with dumping syndrome. Instead, it’s often recommended to eat smaller, more frequent meals throughout the day.
Choice D rationale
Eating a bedtime snack that contains a milk product is not typically recommended for patients with dumping syndrome. Dairy products can sometimes exacerbate symptoms.
Correct Answer is D
Explanation
Choice A rationale
While headaches can be a side effect of many medications, they are not typically associated with daily aspirin intake.
Choice B rationale
Muscle pain is not a common side effect of daily aspirin intake. It may be associated with conditions such as fibromyalgia or side effects of other medications.
Choice C rationale
Increased appetite is not a known side effect of daily aspirin intake.
Choice D rationale
Gastrointestinal bleeding is a well-known potential side effect of daily aspirin intake. Aspirin can irritate the stomach lining, leading to ulcers and bleeding.
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