The nurse is performing an assessment on a client with a diagnosis of pernicious anemia.

Which finding would the nurse expect to note in this client?

Dusky mucous membranes

Red tongue that is smooth and sore

Shortness of breath on exertion

Dyspnea

Answer and Explanation

The Correct Answer is B

A.   Dusky mucous membranes are not typically associated with pernicious anemia.
B.   A red tongue that is smooth and sore is a common finding in pernicious anemia due to vitamin B12 deficiency, which affects the epithelial cells of the tongue.
C.   Shortness of breath on exertion can occur in many types of anemia but is not specific to pernicious anemia.
D.   Dyspnea is also a common symptom in various anemias but is not as characteristic as the red, smooth, and sore tongue in pernicious anemia.

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Correct Answer is C

Explanation

A. Presence of Bence-Jones protein in the urine is indicative of multiple myeloma, but hypercalcemia is a more urgent issue to address.
B. Severe back pain is common in multiple myeloma due to bone involvement, but it is not as immediately life-threatening as hypercalcemia.
C. Elevated serum calcium levels (hypercalcemia) are a common complication of multiple myeloma and can lead to various complications, including kidney damage, altered mental status, and cardiac arrhythmias. Therefore, it is crucial to report significantly elevated serum calcium levels promptly to the health care provider for appropriate management.
D. Patient reports no stool for 5 days may indicate constipation, which is important to address but is not as urgent as hypercalcemia in the context of multiple myeloma.

A. Patient who has pain of "4" on a scale of 0 to 10 B. Patient with a temperature of 99° F (37.2° C) and blood pressure of 115/73 mm Hg C. Patient with a urinary catheter output of 150 mL in the last 3 hours D. Patient who has had two saturated perineal pads in the last 2 hours

Correct Answer is D

Explanation

A. Pain level of "4" on a scale of 0 to 10 indicates mild pain and may not require immediate attention compared to other potential issues.
B. Vital signs within normal range, including temperature and blood pressure, do not indicate an urgent need for assessment.
C. Urinary catheter output of 150 mL in the last 3 hours is within the expected range postoperatively and does not require immediate assessment.
D. Saturated perineal pads suggest excessive bleeding, which could indicate a potential complication such as hemorrhage. Therefore, the nurse should assess this patient first to ensure prompt intervention if necessary.

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The nurse is performing an assessment on a client with a diagnosis of pernicious anemia. Which finding would the nurse expect to note in this client?

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The nurse is performing an assessment on a client with a diagnosis of pernicious anemia.

Which finding would the nurse expect to note in this client?