A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse review?
Platelet count.
Liver enzymes.
Complete blood count.
Serum electrolytes.
The Correct Answer is C
Choice A reason: Platelet count is important for clotting but does not directly address the cause of fatigue in pernicious anemia.
Choice B reason: Liver enzymes are important for liver function but are not related to pernicious anemia.
Choice C reason:
The correct answer is c) because a complete blood count (CBC) provides information about hemoglobin and hematocrit levels, which are directly impacted by pernicious anemia and can explain the fatigue.
Choice D reason: Serum electrolytes are important but do not directly address the cause of fatigue in pernicious anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Monthly appointments with a dietitian are important for overall management but do not directly address lowering blood glucose and increasing HDL levels.
Choice B reason: Monitoring blood glucose levels daily is crucial for diabetes management but does not directly impact HDL levels.
Choice C reason: Limiting calories on days unable to exercise may help with weight management but is not the most effective way to improve blood glucose and HDL levels.
Choice D reason:
The correct answer is d) because regular exercise, with medical approval, helps lower blood glucose levels and increase HDL levels, improving overall health outcomes for clients with type 2 diabetes.
Correct Answer is B
Explanation
Choice A reason: Frequent use of antacids may suggest gastrointestinal issues but is not specific to peptic ulcer disease.
Choice B reason:
The correct answer is b) because upper midabdominal pain described as gnawing and burning is a classic symptom of peptic ulcer disease.
Choice C reason: Marked loss of weight and appetite can be associated with many conditions and is not specific to peptic ulcer disease.
Choice D reason: Severe abdominal cramps and diarrhea after eating spicy foods are not typical symptoms of peptic ulcer disease.
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