The nurse will plan to teach a patient who has pernicious anemia about the need for:

Oral ferrous sulfate tablets.

Cobalamin (B) Injections.

Iron dextran infusions

Routine blood transfusions.

Answer and Explanation

The Correct Answer is B

Pernicious anemia is a type of anemia that occurs due to a lack of intrinsic factor, a protein necessary for the absorption of vitamin B12 (cobalamin) in the digestive system. As a result, patients with pernicious anemia are unable to absorb sufficient amounts of vitamin B12 from dietary sources. The treatment for pernicious anemia involves regular administration of cobalamin (B12) injections to bypass the impaired absorption and provide the necessary vitamin B12 directly.

Oral ferrous sulfate tablets are not the appropriate treatment for pernicious anemia. Ferrous sulfate is a form of iron supplement used to treat iron deficiency anemia, which is different from pernicious anemia.

Iron dextran infusions are also not indicated for pernicious anemia. Iron dextran is used for iron replacement therapy in cases of iron deficiency anemia, but it does not address the underlying issue of vitamin B12 deficiency in pernicious anemia.

Routine blood transfusions may be necessary in some cases of pernicious anemia, especially if the patient is severely anemic. However, the primary treatment for pernicious anemia is cobalamin (B12) injections, which provide the necessary vitamin B12 that the patient is unable to absorb.

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Correct Answer is C

Explanation

Weight gain is a positive indicator of improved nutritional status. It suggests that the client is receiving adequate nutrition and their body is able to build up and retain weight. This is particularly important in the case of protein-calorie malnutrition, as it indicates that the client is receiving sufficient protein and calories to support their nutritional needs.

A. Wound evisceration B. Wound dehiscence C. Wound infection D. Wound tunneling

Correct Answer is A

Explanation

Wound evisceration refers to the protrusion of internal organs or tissues through an open wound. In this case, with the separation of the wound and extrusion of the intestine through the opening, it is a clear indication of wound evisceration. It is a surgical emergency that requires immediate medical attention.

Wound dehiscence, on the other hand, refers to the separation or opening of a previously closed surgical incision or wound. It does not involve the extrusion of internal organs or tissues.

Wound infection refers to the presence of infectious microorganisms in the wound, leading to inflammation and other signs of infection.

Wound tunneling refers to the formation of narrow channels or tunnels within the wound, often caused by improper wound healing or infection.

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The nurse will plan to teach a patient who has pernicious anemia about the need for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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