In preparation for a client having a Schilling test the nurse should explain that the test:

will confirm a diagnosis of G6PD anemia

is a 24-hour urine specimen collection test!

involves limiting intake of animal proteins

entails administration of methylcellulose prior to the test

Answer and Explanation

The Correct Answer is B

A. "will confirm a diagnosis of G6PD anemia": This statement is incorrect. The Schilling test is specifically used to evaluate vitamin B12 absorption and diagnose conditions like pernicious anemia, not G6PD deficiency.

B. "is a 24-hour urine specimen collection test": This statement is accurate. The Schilling test typically involves collecting a 24-hour urine specimen to measure the amount of radioactively labeled vitamin B12 excreted in the urine, which helps determine if the body is absorbing vitamin B12 properly.

C. "involves limiting intake of animal proteins": This statement is misleading. While dietary restrictions may be necessary for certain tests, the Schilling test primarily focuses on the absorption of vitamin B12 and does not require limiting animal protein intake.

D. "entails administration of methylcellulose prior to the test": This statement is incorrect. Methylcellulose is not involved in the Schilling test. The test typically includes administration of oral vitamin B12 with or without intrinsic factor to evaluate absorption.

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Correct Answer is A

Explanation

A. Avoid needle sticks or other invasive procedures as much as possible: This is the most appropriate action for a client with thrombocytopenia. Since thrombocytopenia involves a low platelet count, the risk of bleeding is increased, and minimizing invasive procedures helps prevent complications.

B. Hold all stool softeners and laxatives until otherwise: This statement is not appropriate. Clients with thrombocytopenia should avoid straining during bowel movements, which can be facilitated by the use of stool softeners or laxatives if necessary.

C. Encourage vigorous tooth brushing with a soft bristle toothbrush: This is not advisable. While using a soft-bristled toothbrush is recommended, vigorous brushing could cause gum bleeding. Gentle oral hygiene practices should be emphasized instead.

D. Obtain a core temperature every 8 hours: While monitoring temperature is important, it is not specific to thrombocytopenia management. Other vital signs may be monitored more frequently, but this action does not directly address the primary concern of bleeding risk.

A. remove the tablets from the bottle and keep in a plastic bag in my handbag." B. obtain a new prescription every two month so it doesn't expire C. call 911 if I get chest pain that doesn't go away after taking one tablet." D. leave my bottle of nitroglycerin at home in the medicine cabinet.

Correct Answer is C

Explanation

A. "I will remove the tablets from the bottle and keep in a plastic bag in my handbag." This statement is incorrect because nitroglycerin tablets should be kept in their original amber bottle to protect them from light and moisture. Storing them in a plastic bag can compromise their effectiveness.

B. "I will obtain a new prescription every two months so it doesn't expire." While it is important to replace expired medication, nitroglycerin tablets typically have a shelf life of 6 months to 1 year, depending on the formulation. The client should be educated on checking expiration dates rather than just obtaining a new prescription regularly.

C. "I will call 911 if I get chest pain that doesn't go away after taking one tablet." This statement indicates understanding of the importance of seeking emergency help if chest pain persists after taking nitroglycerin, as it may signify a more serious condition requiring immediate medical attention.

D. "I will leave my bottle of nitroglycerin at home in the medicine cabinet." This is inappropriate because nitroglycerin should be easily accessible, ideally kept with the client at all times, especially when they might experience chest pain.

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In preparation for a client having a Schilling test the nurse should explain that the test:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following actions should a nurse plan for when providing care for a client diagnosed with thrombocytopenia?

Correct Answer is A

Explanation

The nurse has provided discharge teaching to a client prescribed Nitroglycerin SL. Which statement, made by the client. indicates that the teaching has been effective? "I will:

Correct Answer is C

Explanation

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