A patient who had a large portion of the stomach surgically removed will need to receive vitamin B12 for life due to which condition?

Acquired hemolytic anemia

Pernicious anemia

Iron-deficiency anemia

Sickle cell anemia

Answer and Explanation

The Correct Answer is B

Choice A rationale
Acquired hemolytic anemia is a condition where the body destroys red blood cells faster than it can produce them, but it is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.
Choice B rationale
Pernicious anemia is a condition that can develop in patients who have had a large portion of their stomach surgically removed. This is because the stomach plays a crucial role in the absorption of vitamin B12. Without sufficient stomach tissue, the body may not be able to

absorb enough vitamin B12 from food, leading to a deficiency. Therefore, these patients often require lifelong vitamin B12 supplementation.
Choice C rationale
Iron-deficiency anemia is typically caused by a lack of iron in the diet, not a lack of vitamin B12. Therefore, patients with this condition would not typically require lifelong vitamin B12 supplementation following stomach surgery.
Choice D rationale
Sickle cell anemia is a genetic disorder that affects the shape and function of red blood cells. It is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.

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Correct Answer is C

Explanation

Choice A rationale
High hemoglobin is not typically a symptom of a perforated peptic ulcer. Hemoglobin is a protein in red blood cells that carries oxygen. While changes in hemoglobin levels can indicate various health conditions, they are not directly associated with a perforated peptic ulcer.
Choice B rationale
Yellowing of the skin, or jaundice, is a symptom typically associated with liver disease, not a perforated peptic ulcer. Jaundice occurs when there’s too much bilirubin, a yellow-orange substance, in your blood.
Choice C rationale
Acute, sharp, and severe abdominal pain is a common symptom of a perforated peptic ulcer. A perforated peptic ulcer is a medical emergency that occurs when an ulcer goes through all the layers of the stomach or duodenum wall, creating a hole. This allows stomach or intestinal contents to leak into the abdominal cavity, causing severe abdominal pain.

Choice D rationale
High hematocrit is not typically a symptom of a perforated peptic ulcer. Hematocrit is the proportion of your total blood volume that is composed of red blood cells. While changes in hematocrit levels can indicate various health conditions, they are not directly associated with a perforated peptic ulcer. Dumping syndromeDumping syndrome Explore

A. Administer pain medication B. Initiate IV fluid resuscitation

Correct Answer is B

Explanation

Choice A rationale
While administering pain medication can provide temporary relief for a client with severe abdominal pain, it does not address the underlying issue of a perforated peptic ulcer. Pain medication should be administered as part of a comprehensive treatment plan, but it should not be the first step in managing a perforated peptic ulcer.
Choice B rationale
Initiating IV fluid resuscitation is a crucial first step in the management of a client presenting with severe abdominal pain and a history of peptic ulcer disease. A perforated peptic ulcer is a medical emergency that can lead to infection and shock, and IV fluid resuscitation can help stabilize the client’s condition while further diagnostic and therapeutic measures are taken.

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A patient who had a large portion of the stomach surgically removed will need to receive vitamin B12 for life due to which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is gathering information from a patient who is experiencing a perforation of a peptic ulcer. Which of the following symptoms should the nurse anticipate?

Correct Answer is C

Explanation

A client presents to the emergency department with severe abdominal pain. The client’s history reveals a previous diagnosis of peptic ulcer disease. What should the nurse do?

Correct Answer is B

Explanation

A nurse is collecting data on a patient that has GERD. Which of the following is an expected finding?

A nurse is preparing to administer aspirin 650 mg orally. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Note: This is a med math nd does not require options.)

A nurse is caring for a patient who is 2 days postoperative from abdominal surgery. The patient reports discomfort from abdominal distension and flatus. Which of the following suggestions should the nurse include?

The nurse is caring for a client that takes aspirin three times per day. Which of the following is a potential adverse effect of taking daily aspirin?

A nurse is providing instructions to a patient who is scheduled for a barium swallow to assess dysphagia. Which of the following patient statements would indicate to the nurse that the instructions have been understood?

A nurse is providing dietary advice to a patient who has GERD. Which of the following food choices by the patient would indicate an understanding of the advice?

A nurse is reinforcing home safety information with an older adult client. Which of the following statements indicates that the client needs further instruction?

The nurse is preparing to provide care for a client diagnosed with peptic ulcer disease. Which pathophysiological characteristic will the nurse correctly associate with the patient’s diagnosis?