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 D
Explanation
A. Pneumococcal pneumonia is a bacterial lung infection, not a cancerous lesion.
B. Toxic epidermal necrosis is a severe drug reaction with widespread skin detachment, not related to AIDS.
C. Wasting syndrome is characterized by severe weight loss and muscle wasting but does not present with skin lesions.
D. Kaposi’s sarcoma is an AIDS-related malignancy that presents as purplish-brown skin or mucosal lesions. It is caused by human herpesvirus 8 (HHV-8) and is more common in clients with low CD4+ counts.
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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