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 ["A","B","E"]

Explanation

Small bowel obstruction can lead to the accumulation of gastric contents above the obstruction, causing vomiting.

Obstruction of the small bowel can result in crampy, colicky abdominal pain and abdominal distention.

Electrolyte imbalances, such as hypokalemia (low potassium), can occur due to vomiting and inadequate intake in cases of small bowel obstruction.

The following finding is not directly associated with small bowel obstruction:

Pain relief after eating is more commonly associated with peptic ulcer disease, not small bowel obstruction.

While blood in the stool can be seen in some cases of bowel obstruction, it is more commonly associated with lower gastrointestinal bleeding or other conditions affecting the colon, rather than small bowel obstruction.

A. Incompetent lower esophageal sphincter. B. Decreased pressure within the stomach. C. Transient constriction of the lower esophageal sphincter D. Prolonged constriction of the upper esophageal sphincter.

Correct Answer is A

Explanation

The lower esophageal sphincter (LES) is a muscular ring located between the esophagus and stomach. Its function is to prevent the backflow of stomach acid and contents into the esophagus. In GERD, the LES becomes weak or relaxed, allowing stomach acid to flow back up into the esophagus, leading to symptoms such as heartburn, regurgitation, and chest pain.

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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

A client is admitted with a small bowel (small intestine) obstruction. Which assessment findings are consistent with this diagnosis? SELECT ALL THAT APPLY

Correct Answer is ["A","B","E"]

Explanation

The nurse is explaining the alteration in normal function to a patient recently diagnosed with gastroesophageal reflux disease (GERD). Which etiology contributing to GERD does the nurse include in the teaching session?

Correct Answer is A

Explanation

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