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 D
Explanation
Choice A rationale
CEA is not a chemotherapy drug. Chemotherapy drugs are medications used to treat cancer, while CEA is a protein that can be measured in the blood.
Choice B rationale
CEA is not a surgical procedure. It’s a type of protein in the body that can be measured through a blood test.
Choice C rationale
CEA is not a tumor suppressor gene. Tumor suppressor genes are genes that regulate cell division and prevent the formation of tumors, while CEA is a protein that can be present in higher amounts in people with certain types of cancer.
Choice D rationale
CEA is a blood test used to detect and monitor certain types of cancer. It’s often used in people who’ve been previously diagnosed with certain types of cancer, most commonly colorectal cancer.
Correct Answer is B
Explanation
Choice A rationale
It is a good practice to change the batteries in smoke detectors annually to ensure they are working properly. This statement does not indicate a need for further instruction.
Choice B rationale
Using a walker when going upstairs can be dangerous due to the risk of falls. It is recommended that individuals use handrails or assistance when navigating stairs, not a walker. This statement indicates that the client needs further instruction.
Choice C rationale
Leaving a night light on can help prevent falls by providing visibility during the night. This statement does not indicate a need for further instruction.
Choice D rationale
Installing grab bars in the bathroom, especially near the toilet and in the shower, can provide support and prevent falls. This statement does not indicate a need for further instruction.
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