Your client is diagnosed with Pernicious Anemia. What is the MOST likely treatment that they will receive?

Vit B12 IM

Iron PO

PRBC Transfusion

NS IV infusion

Answer and Explanation

The Correct Answer is A

A.   Patients with this condition cannot absorb vitamin B12 from food due to a lack of intrinsic factor, which is essential for vitamin B12 absorption in the intestines. Therefore, vitamin B12 is administered via intramuscular (IM) injection to bypass the gastrointestinal absorption issue, ensuring that the patient receives the necessary amount of this vital nutrient.
B.   While iron supplements may be necessary for other types of anemia (like iron deficiency anemia), they are not the primary treatment for Pernicious Anemia. This condition is specifically related to vitamin B12 deficiency rather than iron deficiency, so iron is not a standard treatment option in this scenario.
C.   Packed red blood cell (PRBC) transfusions may be used in severe cases of anemia, particularly if the patient is symptomatic or has significant fatigue or cardiovascular instability. However, this is not a direct treatment for Pernicious Anemia itself and is not routinely used as the primary management strategy.
D.   Normal saline (NS) intravenous infusion may be used for hydration or to maintain fluid balance, but it does not address the underlying cause of Pernicious Anemia. It is not a treatment for the deficiency of vitamin B12.

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Correct Answer is A

Explanation

A. This type of shock occurs when there is widespread vasodilation leading to a relative hypovolemia, often seen in conditions like sepsis. Given that the patient has a surgical site infection, this is a plausible consideration. However, distributive shock typically involves more than just hypotension, including symptoms like warm skin and possible fever.
B. This type of shock results from significant fluid loss, leading to inadequate circulating volume. It can occur after surgery due to bleeding or fluid loss, but the context here suggests that the primary issue is infection rather than direct fluid loss.
C. Obstructive shock happens when there is a physical obstruction to blood flow, such as in cases of pulmonary embolism or tension pneumothorax. There’s no indication of obstruction in this scenario related to the infection and hypotension.
D. This shock type occurs when the heart fails to pump effectively, often due to myocardial infarction or severe heart failure. The patient’s history does not suggest heart dysfunction, so this option is less likely.

A. 30 minutes B. 90 minutes C. 15 minutes D. 60 minutes

Correct Answer is C

Explanation

A. This is incorrect because the time limit is shorter than 30 minutes.
B. This is also incorrect. You need to start the transfusion sooner than this timeframe.
C. You should start the transfusion within 15 minutes after the blood product is issued from the blood bank. This guideline is critical to minimize the risk of bacterial growth and ensure the safety of the transfusion.
D. The time limit is shorter than 60 minutes, emphasizing the urgency in starting the transfusion to maintain the integrity of the blood product.

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Your client is diagnosed with Pernicious Anemia. What is the MOST likely treatment that they will receive?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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