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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale
While administering pain medication can provide temporary relief for a client with severe abdominal pain, it does not address the underlying issue of a perforated peptic ulcer. Pain medication should be administered as part of a comprehensive treatment plan, but it should not be the first step in managing a perforated peptic ulcer.
Choice B rationale
Initiating IV fluid resuscitation is a crucial first step in the management of a client presenting with severe abdominal pain and a history of peptic ulcer disease. A perforated peptic ulcer is a medical emergency that can lead to infection and shock, and IV fluid resuscitation can help stabilize the client’s condition while further diagnostic and therapeutic measures are taken.

A. Administer pain medication B. Prepare the client for surgery C. Initiate IV fluid resuscitation D. Obtain a stat abdominal X-ray

Correct Answer is B

Explanation

Choice A rationale
While administering pain medication may provide temporary relief, it does not address the underlying issue of a perforated ulcer, which is a medical emergency.
Choice B rationale

Preparing the client for surgery is the priority action for a nurse when a perforated ulcer is suspected. A perforated ulcer is a medical emergency that often requires immediate surgery.
Choice C rationale
Initiating IV fluid resuscitation may be part of the management for a suspected perforated ulcer, but it is not the first priority. The first priority is to stabilize the patient and prepare for possible surgery.
Choice D rationale
Obtaining a stat abdominal X-ray may help confirm the diagnosis of a perforated ulcer, but it is not the first priority. The first priority is to stabilize the patient and prepare for possible surgery.

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A patient who had a large portion of the stomach surgically removed will need to receive vitamin B12 for life due to which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client presents to the emergency department with severe abdominal pain. The client’s history reveals a previous diagnosis of peptic ulcer disease. What should the nurse do?

Correct Answer is B

Explanation

A client presents to the emergency department with severe abdominal pain. The client’s history reveals a previous diagnosis of peptic ulcer disease. The nurse suspects a perforated ulcer. What is the priority action by the nurse?

Correct Answer is B

Explanation

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