A nurse is caring for a client with pernicious anemia. Which of the following statements made by the client demonstrates an understanding of the condition?
"I should consume more iron-rich foods in my diet."
"I need to avoid foods high in vitamin C."
"I will need to take lifelong vitamin B12 supplements."
"I should limit my intake of leafy green vegetables."
The Correct Answer is C
A) This choice is incorrect because pernicious anemia is not related to iron deficiency, so increasing iron-rich foods will not address the underlying cause.
B) This choice is incorrect because vitamin C actually enhances the absorption of vitamin B12, which is essential in pernicious anemia.
C) This choice is correct. Pernicious anemia is caused by the lack of intrinsic factor, a protein necessary for vitamin B12 absorption. Clients with pernicious anemia will require lifelong vitamin B12 supplementation, often through intramuscular injections.
D) This choice is incorrect. Leafy green vegetables are good sources of folate, which is not directly related to pernicious anemia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because taking ferrous sulfate with water is generally acceptable and does not significantly affect iron absorption.
B) This choice is incorrect because taking ferrous sulfate with orange juice, which is rich in vitamin C, can enhance iron absorption and is often recommended.
C) This choice is incorrect because taking ferrous sulfate with milk can reduce iron absorption, but it is not as significant as with tea or coffee.
D) This choice is correct. Tea, especially black tea, contains tannins that can inhibit iron absorption when taken with ferrous sulfate or other iron supplements.
Correct Answer is B
Explanation
A) This choice is incorrect because iron-deficiency anemia is not typically associated with hemolysis or elevated bilirubin levels.
B) This choice is correct. Hemolytic anemia is characterized by the destruction of red blood cells, leading to the release of bilirubin, which causes jaundice and elevated bilirubin levels.
C) This choice is incorrect because pernicious anemia is caused by a deficiency in vitamin B12 and does not directly involve hemolysis.
D) This choice is incorrect because aplastic anemia is characterized by bone marrow suppression, resulting in decreased production of all blood cells, not hemolysis.
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