Which treatment is likely to be planned for a patient who develops pernicious anemia after a gastrectomy?

Triple-drug therapy.

IV therapy.

Quadruple-drug therapy.

Cobalamin replacement therapy.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Triple-drug therapy is not the standard treatment for pernicious anemia after a gastrectomy. Pernicious anemia is primarily caused by vitamin B12 deficiency due to the absence of intrinsic factor, which is essential for vitamin B12 absorption.
Choice B rationale:
IV therapy is a broad term and does not specify the treatment for pernicious anemia. In the context of pernicious anemia, cobalamin replacement therapy administered via intramuscular injections is the preferred treatment.
Choice C rationale:
Quadruple-drug therapy is not a recognized treatment for pernicious anemia. The primary treatment for pernicious anemia involves cobalamin replacement therapy to address the vitamin B12 deficiency.
Choice D rationale:
Cobalamin replacement therapy is the appropriate treatment for pernicious anemia after a gastrectomy. Since the patient lacks intrinsic factor, which is necessary for vitamin B12 absorption, cobalamin replacement therapy bypasses the need for intrinsic factor and provides the necessary vitamin B12 directly.

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Correct Answer is B

Explanation

Choice A rationale:
Skeletal pain is not a typical finding in stage I Hodgkin lymphoma. Hodgkin lymphoma typically presents with painless enlarged lymph nodes, which is a hallmark symptom of the disease.
Choice B rationale:
Enlarged lymph nodes are a characteristic feature of Hodgkin lymphoma. In stage I, the disease is localized to one group of lymph nodes.
Choice C rationale:
T-cell blasts in the lymph node are not specific to Hodgkin lymphoma. Hodgkin lymphoma is characterized by the presence of Reed-Sternberg cells, which are large abnormal B cells, not T-cell blasts.
Choice D rationale:
Lymphoblasts in the cerebrospinal fluid are not associated with Hodgkin lymphoma. Involvement of the central nervous system is rare in Hodgkin lymphoma and typically does not lead to the presence of lymphoblasts in the cerebrospinal fluid.

A. Palpitations. B. Conjunctival pallor. C. Sternal tenderness. D. Heart rate of 104 beats/min.

Correct Answer is ["B","D"]

Explanation

Choice B rationale:

Conjunctival pallor is a common physical finding in patients with low hemoglobin levels (anemia), leading to paleness in mucous membranes such as the conjunctiva.

Choice C rationale:

Sternal tenderness is not a typical finding associated with low hemoglobin levels and is not directly related to anemia.

Choice D rationale:

A heart rate of 104 beats/min can be a compensatory response to anemia, as explained in .

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Which treatment is likely to be planned for a patient who develops pernicious anemia after a gastrectomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which finding will the nurse expect in a patient who is hospitalized with stage I Hodgkin lymphoma?

Correct Answer is B

Explanation

Which finding would the nurse expect to see in a patient with a hemoglobin level of 8 g/dL? Select all that apply.One, some, or all responses may be correct.

Correct Answer is ["B","D"]

Explanation

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