A nurse is planning care for a client who has pernicious anemia. Which of the following interventions should the nurse plan to implement?
Vitamin B supplements.
Iron supplements.
Vitamin B12 injections.
Blood transfusions.
The Correct Answer is C
Choice A rationale
Vitamin B supplements are not sufficient for treating pernicious anemia, as the condition involves an inability to absorb vitamin B12 from the gastrointestinal tract.
Choice B rationale
Iron supplements are not the primary treatment for pernicious anemia, which is specifically caused by a deficiency in vitamin B1289.
Choice C rationale
Vitamin B12 injections are the correct treatment for pernicious anemia. These injections bypass the gastrointestinal tract and provide the necessary vitamin B12 directly into the bloodstream.
Choice D rationale
Blood transfusions are not typically required for the treatment of pernicious anemia unless there is severe anemia or other complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Lithotripsy, which uses shock waves to break up stones, is not part of an oral cholangiogram. An oral cholangiogram involves the use of a contrast dye to visualize the gallbladder and bile ducts on X-ray.
Choice B rationale
An endoscopic procedure, such as an endoscopic retrograde cholangiopancreatography (ERCP), involves inserting a camera down the throat. However, an oral cholangiogram is a non- invasive imaging test that uses contrast dye.
Choice C rationale
Correct. An oral cholangiogram involves the ingestion of a contrast dye that helps visualize the gallbladder and bile ducts on X-ray.
Choice D rationale
Medications to dissolve gallstones are not used in an oral cholangiogram. This procedure is purely diagnostic and involves the use of contrast dye to visualize the gallbladder and bile ducts.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale
Providing diversionary activities for the client can help distract them and reduce the likelihood of them pulling on their NG tube. Diversionary activities can include engaging the client in conversation, providing them with puzzles or games, or allowing them to watch television or listen to music. These activities can help occupy the client’s time and attention, reducing the need for restraints.
Choice B rationale
Assisting the client with toileting at frequent intervals can address any discomfort or need that may be causing the client to pull on their NG tube. Ensuring that the client is comfortable and their needs are met can reduce agitation and the likelihood of them pulling on the tube.
Choice C rationale
Involving the family in the client’s care can provide additional support and reassurance to the client. Family members can help calm the client and provide a familiar presence, which can reduce anxiety and the need for restraints.
Choice E rationale
Using an electronic bed alarm device can alert the nursing staff if the client attempts to get out of bed or pull on their NG tube. This allows for timely intervention without the need for physical restraints.
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