should assess further before administering it.
23. Which patent statement to the nurse indicates that the patient understands self-care for pernicious anemia?
“I should increase intake foods rich in vitamin B6.”
“I need to Start eating more red meat and liver.”
“This condition with my bone marrow also increases my risk of infection and bleeding.”
“I will require periodic vitamin B12 injections."
The Correct Answer is D
A. Vitamin B6 is important for overall health but does not treat pernicious anemia.
B. Increasing dietary intake of B12-rich foods like red meat and liver is ineffective since the body cannot absorb B12 due to intrinsic factor deficiency.
C. While some anemias affect bone marrow function, pernicious anemia is not associated with increased infection and bleeding risk.
D. Pernicious anemia is caused by a lack of intrinsic factor, which is necessary for vitamin B12 absorption. Since dietary B12 cannot be absorbed, lifelong vitamin B12 injections are required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Oral iron supplementation is helpful for chronic anemia but is not effective for acute blood loss.
B. A hemoglobin of 6.3 g/dL in a hemorrhagic patient requires immediate transfusion of packed red blood cells (PRBCs) to restore oxygen-carrying capacity and prevent shock.
C. Hypovolemia should be managed with isotonic IV fluids (e.g., 0.9% NS or lactated Ringer’s), not hypotonic solutions like 0.45% sodium chloride.
D. Cyanocobalamin (B-12) is used for pernicious anemia but is not relevant for acute blood loss.
Correct Answer is B
Explanation
A. The client’s SpO2 is already at 97%, so increasing oxygen is unnecessary. Oxygen is only required if hypoxia is present.
B. Pain management is the priority in vaso-occlusive crisis. Severe pain leads to stress, increasing oxygen demand and worsening sickling. IV opioids (e.g., morphine) are the standard treatment.
C. The BP is elevated but not critically high, and pain-related stress may be contributing. Treating pain first is the priority.
D. IV fluids help with hydration and reducing sickling, but pain management should be addressed first to provide immediate relief.
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