A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy.
Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia?
Folate
Vitamin B12
Vitamin C
Iron
The Correct Answer is B
Choice A rationale
Folate, also known as vitamin B9, is essential for many functions in the body, including cell growth and division, amino acid metabolism, and the formation of white and red blood cells. However, it is not the treatment for pernicious anemia.
Choice B rationale
Pernicious anemia is a condition where the body cannot absorb enough vitamin B12 in the small intestine, causing a drop in red blood cells. Treatment for pernicious anemia involves vitamin B12 injections or oral supplementation to restore levels to an optimal range, followed by continued injections or oral medications to maintain these levels.
Choice C rationale
Vitamin C is essential for the growth, development, and repair of all body tissues. It’s involved in many body functions, including the formation of collagen, absorption of iron, the immune system, wound healing, and the maintenance of cartilage, bones, and teeth. However, it is not the treatment for pernicious anemia.
Choice D rationale
Iron is a mineral that our bodies need for many functions. For example, iron is part of hemoglobin, a protein which carries oxygen from our lungs throughout our bodies. However, it is not the treatment for pernicious anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While headaches can be a side effect of many medications, they are not commonly associated with daily aspirin intake.
Choice B rationale
Muscle pain is not a common side effect of daily aspirin intake. It is more commonly associated with statins, a class of drugs used to lower cholesterol levels.
Choice C rationale
Increased appetite is not a known side effect of daily aspirin intake.
Choice D rationale
Stomach upset is a potential adverse effect of taking daily aspirin. Aspirin can irritate the stomach lining, which can lead to symptoms such as heartburn and nausea.
Correct Answer is A
Explanation
Choice A rationale
Dumping syndrome is a common complication after gastric surgery. It is a condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested. It’s called "dumping" because the contents of the stomach are "dumped" into the small intestine too quickly.
Choice B rationale
Hypothyroidism is not typically a complication of gastric surgery. Hypothyroidism is a condition in which the thyroid gland does not produce enough thyroid hormones. It is not directly related to gastric surgery.
Choice C rationale
While pulmonary embolism is a potential complication of any surgery due to the risk of blood clots, it is not specific to gastric surgery.
Choice D rationale
Urinary tract infections are not typically a complication of gastric surgery. They occur when bacteria enter the urinary tract, and are not directly related to gastric surgery.
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