The patient, age 28, is admitted with complaints of nausea, sore tongue, tingling of the hands, and difficulty swallowing. Upon examination, her tongue is erythematous. What diagnostic procedure will support this diagnosis?

Schilling test

Erythrocyte Indices

Bone Marrow Biopsy

Radiologic Studies

Answer and Explanation

The Correct Answer is A

A.   Schilling test. The symptoms described are suggestive of pernicious anemia, which is typically diagnosed through a Schilling test to assess vitamin B12 absorption.
B.   Erythrocyte Indices. Erythrocyte indices are used to evaluate various aspects of red blood cell characteristics and are not specific to diagnosing pernicious anemia.
C.   Bone Marrow Biopsy. While bone marrow biopsy may be used to diagnose certain types of anemia, it is not the primary diagnostic test for pernicious anemia.
D.   Radiologic Studies. Radiologic studies are not typically used in the diagnosis of pernicious anemia.

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Correct Answer is A

Explanation

A. "Treatment for vaginal yeast infections must be prescribed by the provider." This statement is correct because antifungal medications, which are required to treat vaginal yeast infections, are prescription-based.
B. "Vaginal yeast infections present as a thick, white discharge." While this is a common symptom of vaginal yeast infections, it alone is not sufficient for diagnosis.
C. "The use of oral contraceptives will decrease the risk for vaginal yeast infections." This statement is incorrect because oral contraceptives may sometimes increase the risk of vaginal yeast infections.

D. "There is usually no itching with vaginal yeast infections as the fungus does not invade the vaginal wall." This statement is incorrect because itching is a common symptom of vaginal yeast infections due to irritation caused by the overgrowth of yeast in the vaginal area.

A. "Do you sleep well at night?" B. "Have you experienced increased hair growth?" C. "Have you been experiencing chills?" D. "When did you begin your menses?"

Correct Answer is A

Explanation

A. "Do you sleep well at night?" Sleep disturbances, including insomnia and night sweats, are common symptoms of menopause.
B. "Have you experienced increased hair growth?" Increased hair growth is not typically associated with menopause; rather, menopause is often associated with hair thinning or loss.
C. "Have you been experiencing chills?" Chills are not a common symptom of menopause; hot flashes and night sweats are more typical.
D. "When did you begin your menses?" This question is not relevant to confirming menopause symptoms, as it focuses on the onset of menstruation rather than menopausal changes.

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The patient, age 28, is admitted with complaints of nausea, sore tongue, tingling of the hands, and difficulty swallowing. Upon examination, her tongue is erythematous. What diagnostic procedure will support this diagnosis?

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Naxlex Comprehensive Predictor Exams

A nurse in a health clinic is reinforcing teaching to a newly licensed nurse about vaginal yeast infections. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?

Correct Answer is A

Explanation

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