A patient has a folic acid deficiency associated with not consuming food with folic acid. The nurse would expect a complete blood cell count (CBC) to reveal?

macrocytic, normochromic

microcytic, hypochromic

normocytic, normochromic

microcytic, normochromic

Answer and Explanation

The Correct Answer is A

Choice A reason: This is correct. Folic acid deficiency causes macrocytic, normochromic anemia, which means that the red blood cells are larger than normal, but have normal color and hemoglobin content. Folic acid is a vitamin that is needed for the synthesis of DNA and the maturation of red blood cells.

Choice B reason: This is incorrect. Microcytic, hypochromic anemia means that the red blood cells are smaller than normal and have less color and hemoglobin content. This type of anemia is caused by iron deficiency, not folic acid deficiency.

Choice C reason: This is incorrect. Normocytic, normochromic anemia means that the red blood cells are normal in size, color, and hemoglobin content, but there are fewer of them. This type of anemia is caused by blood loss, hemolysis, or bone marrow failure, not folic acid deficiency.

Choice D reason: This is incorrect. Microcytic, normochromic anemia means that the red blood cells are smaller than normal, but have normal color and hemoglobin content. This type of anemia is rare and is caused by disorders of red blood cell production, such as thalassemia or sideroblastic anemia, not folic acid deficiency.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Diplopia, or double vision, is a symptom of multiple sclerosis that results from damage to the optic nerve or the brainstem. It can affect one or both eyes, and it can cause difficulty with reading, driving, and other activities that require visual coordination.

Choice B reason: Fatigue that worsens with heat is a symptom of multiple sclerosis that occurs due to the impaired transmission of nerve impulses in the central nervous system. Heat can exacerbate this impairment and make the patient feel more tired, weak, and sluggish.

Choice C reason: Muscle weakness, spasticity, tremors are symptoms of multiple sclerosis that result from damage to the motor pathways in the brain and spinal cord. They can affect the patient's mobility, balance, coordination, and speech.

Choice D reason: Orthostatic hypotension, or a sudden drop in blood pressure when standing up, is not a common symptom of multiple sclerosis. It can be caused by other conditions, such as dehydration, anemia, or heart problems.

Choice E reason: Numbness and tingling are symptoms of multiple sclerosis that result from damage to the sensory pathways in the brain and spinal cord. They can affect any part of the body, but they are more common in the limbs, face, and trunk.

A. Observe the time of onset and end of seizure activity. B. Remove objects within reach of the client's arms and legs. C. Loosen any restrictive clothing around the neck. D. Place a padded tongue blade in the client's mouth

Correct Answer is B

Explanation

Choice A reason: Observing the time of onset and end of seizure activity is important, but it is not the priority action. The nurse should first ensure the safety of the client and prevent injury.

Choice B reason: Removing objects within reach of the client's arms and legs is the correct action, as it prevents the client from hitting or injuring themselves during the seizure. The nurse should also lower the bed and raise the side rails.

Choice C reason: Loosening any restrictive clothing around the neck is a good practice, but it is not as urgent as removing objects. The nurse can do this after ensuring the client's safety.

Choice D reason: Placing a padded tongue blade in the client's mouth is a wrong and dangerous action, as it can cause choking, aspiration, or damage to the teeth and oral mucosa. The nurse should never force anything into the client's mouth during a seizure.

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A patient has a folic acid deficiency associated with not consuming food with folic acid. The nurse would expect a complete blood cell count (CBC) to reveal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to a young female recently diagnosed with multiple sclerosis. Select the common symptoms the nurse should include in the education plan that the patient should report to their health care provider. (Select all that apply)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is caring for a client who begins to exhibit seizure activity while in bed. Which of the following actions should the nurse implement to care for the client?

Correct Answer is B

Explanation

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