A nurse is providing dietary teaching to a client who has a new onset of vitamin B12 deficiency. Which of the following foods should the nurse encourage the client to include in their diet?
(Select All that Apply)

Steak

Low fat milk

Grilled salmon

Green leafy vegetables

Scrambled eggs

Answer and Explanation

Correct Answer : A,B,C,E

A. Steak - Red meats like steak are high in vitamin B12, making them an excellent choice for individuals with B12 deficiency.

B. Low fat milk - Dairy products, including milk, are good sources of vitamin B12 and should be included in the diet.

C. Grilled salmon - Fish such as salmon is rich in vitamin B12, making it a beneficial food for addressing B12 deficiency.

D. Green leafy vegetables - While nutritious, green leafy vegetables are not significant sources of vitamin B12. B12 is primarily found in animal products.

E. Scrambled eggs - Eggs contain a good amount of vitamin B12, making them a suitable option for dietary management of deficiency.

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Correct Answer is A

Explanation

A. Obtain a venous duplex ultrasound. These symptoms suggest a deep vein thrombosis (DVT), and a venous duplex ultrasound is the standard diagnostic test to confirm the presence of a thrombus in the veins.

B. Obtain impedance plethysmography: This is less commonly used than ultrasound and may not provide as clear a diagnosis.

C. Monitor Homan's sign: Homan's sign is no longer considered reliable or safe for diagnosing DVT due to the risk of dislodging a thrombus.

D. Apply cold therapy to the affected leg: Cold therapy is not appropriate for DVT as it does not treat the underlying issue and could potentially cause vasoconstriction, worsening the condition.

A. Notifying the provider B. Stopping the transfusion C. Covering the client with a blanket D. Assessing the client's skin for a rash

Correct Answer is B

Explanation

A. Notifying the provider: This is important but should be done after stopping the transfusion.

B. Stopping the transfusion. Chills and back pain during a blood transfusion can indicate a serious transfusion reaction, such as an acute hemolytic reaction. The priority action is to stop the transfusion immediately to prevent further complications

C. Covering the client with a blanket: This addresses the symptom of chills but does not address the potential life-threatening reaction.

D. Assessing the client's skin for a rash: This is part of the assessment for transfusion reactions but is not the priority compared to stopping the transfusion.

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A nurse is providing dietary teaching to a client who has a new onset of vitamin B12 deficiency. Which of the following foods should the nurse encourage the client to include in their diet? (Select All that Apply)

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is providing dietary teaching to a client who has a new onset of vitamin B12 deficiency. Which of the following foods should the nurse encourage the client to include in their diet?
(Select All that Apply)