The nurse is caring for a client who has been taking aspirin 81mg PO daily for the last six months. Which clinical findings are of most concern? (SELECT ALL THAT APPLY)

Temperature elevation of 100.4 ORGAN

Hemoglobin decrease from 128g/dl to 9.5g/dl

Serum potassium increase from 3.5 mEq/L 4.5 mEq/L

Gastrointestinal discomfort prior to eating breakfast

Several areas of ecchymosis on upper and lower extremities

Answer and Explanation

Correct Answer : B,E

A. Temperature elevation of 100.4°F: While a slight fever can indicate infection or inflammation, it is not an immediate concern related to aspirin use. It requires monitoring but is not as critical as other findings.

B. Hemoglobin decrease from 128 g/dL to 5.5 g/dL: This significant drop in hemoglobin indicates severe anemia, which is a major concern and may suggest gastrointestinal bleeding, a known risk of long-term aspirin use.

C. Serum potassium increase from 3.5 mEq/L to 4.5 mEq/L: This level is still within the normal range and does not indicate a significant clinical issue. Normal potassium levels do not raise immediate concern.

D. Gastrointestinal discomfort prior to eating breakfast: While gastrointestinal discomfort can be a side effect of aspirin, it is not immediately alarming unless associated with more severe symptoms like bleeding or ulceration.

E. Several areas of ecchymosis on upper and lower extremities: This finding is concerning as it may indicate bleeding issues due to thrombocytopenia or increased bleeding tendency associated with aspirin therapy.

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Correct Answer is B

Explanation

A. "will confirm a diagnosis of G6PD anemia": This statement is incorrect. The Schilling test is specifically used to evaluate vitamin B12 absorption and diagnose conditions like pernicious anemia, not G6PD deficiency.

B. "is a 24-hour urine specimen collection test": This statement is accurate. The Schilling test typically involves collecting a 24-hour urine specimen to measure the amount of radioactively labeled vitamin B12 excreted in the urine, which helps determine if the body is absorbing vitamin B12 properly.

C. "involves limiting intake of animal proteins": This statement is misleading. While dietary restrictions may be necessary for certain tests, the Schilling test primarily focuses on the absorption of vitamin B12 and does not require limiting animal protein intake.

D. "entails administration of methylcellulose prior to the test": This statement is incorrect. Methylcellulose is not involved in the Schilling test. The test typically includes administration of oral vitamin B12 with or without intrinsic factor to evaluate absorption.

A. Beets B. Seafood C. Eggs D. Bran

Correct Answer is B

Explanation

A) Beets: While beets are nutritious and contain some iron, they are not the best source of iron for someone with iron-deficiency anemia. They are more known for their folate content.

B) Seafood: Seafood, particularly shellfish like clams, oysters, and mussels, is an excellent source of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based foods. Including seafood in the diet can help improve iron levels.

C) Eggs: Eggs contain some iron, but they also contain substances that can inhibit iron absorption. While they can be part of a balanced diet, they are not the most effective food for increasing iron intake.

D) Bran: Bran is high in fiber and can be beneficial for digestive health, but it contains phytates that can inhibit iron absorption. It is not recommended as a primary source of iron for someone with iron-deficiency anemia.

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The nurse is caring for a client who has been taking aspirin 81mg PO daily for the last six months. Which clinical findings are of most concern? (SELECT ALL THAT APPLY)

Nursing Test Bank

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