A nurse is caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?

Schilling test

Haptoglobin

Sweat test

Antinuclear antibodies

Answer and Explanation

The Correct Answer is A

A. Schilling test: This is the correct answer. The Schilling test is used to diagnose pernicious anemia, which is caused by vitamin B12 deficiency. The test measures the absorption of vitamin B12 in the gastrointestinal tract.

B. Haptoglobin: Haptoglobin is a test used to assess hemolysis and is not specific for pernicious anemia.

C. Sweat test: The sweat test is used to diagnose cystic fibrosis and is not relevant to the diagnosis of pernicious anemia.

D. Antinuclear antibodies: Antinuclear antibodies are tested to diagnose autoimmune disorders, such as systemic lupus erythematosus (SLE), and are not specific to pernicious anemia.

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Correct Answer is B

Explanation

A. Providing immediate rest for the client: Rest is important, but in the context of an acute asthma exacerbation, addressing the underlying respiratory distress is the priority.

B. Administering a nebulized beta-adrenergic agonist: This is the correct answer. Beta-adrenergic agonists, such as albuterol, are bronchodilators that help relieve bronchoconstriction and improve airflow. Administering a nebulized beta-adrenergic agonist is a key intervention during an acute asthma exacerbation to alleviate symptoms and improve respiratory function.

C. Positioning the client in high-Fowler's: While positioning can assist with respiratory effort, administering a bronchodilator is a more direct and immediate intervention to relieve airway obstruction.

D. Initiating oxygen therapy: While oxygen therapy may be necessary, addressing bronchoconstriction with a beta-adrenergic agonist is the primary intervention during an acute asthma exacerbation.

A. Flexing her ankles B. Elevating her feet C. Massaging her legs D. Ambulating soon after surgery

Correct Answer is C

Explanation

A. Flexing her ankles: Ankle flexion exercises and periodic ankle flexion are encouraged to promote blood circulation and prevent venous stasis, which can contribute to the development of venous thromboembolism (VTE).

B. Elevating her feet: Elevating the feet can also help prevent venous stasis and promote blood circulation. It is a recommended action to reduce the risk of VTE.

C. Massaging her legs: This is the correct answer. Massage of the legs, particularly deep tissue massage, can dislodge blood clots and increase the risk of embolization, including the risk of venous thromboembolism.

D. Ambulating soon after surgery: Early ambulation is an important preventive measure for VTE. It helps stimulate blood flow and prevents venous stasis. Encouraging the client to ambulate as soon as possible after surgery is a recommended practice.

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A nurse is caring for a client who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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