The nurse is performing an assessment on a client with a diagnosis of pernicious anemia.

Which finding would the nurse expect to note in this client?

Dusky mucous membranes

Red tongue that is smooth and sore

Shortness of breath on exertion

Dyspnea

Answer and Explanation

The Correct Answer is B

A.   Dusky mucous membranes are not typically associated with pernicious anemia.
B.   A red tongue that is smooth and sore is a common finding in pernicious anemia due to vitamin B12 deficiency, which affects the epithelial cells of the tongue.
C.   Shortness of breath on exertion can occur in many types of anemia but is not specific to pernicious anemia.
D.   Dyspnea is also a common symptom in various anemias but is not as characteristic as the red, smooth, and sore tongue in pernicious anemia.

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Correct Answer is C

Explanation

A. Gastrointestinal bleeding is a common source of chronic blood loss leading to iron deficiency anemia.
B. Peptic ulcers can cause chronic gastrointestinal bleeding, contributing to iron deficiency.
C. Loss of intrinsic factor leads to vitamin B12 deficiency and pernicious anemia, not iron deficiency.
D. Genitourinary bleeding is another potential source of chronic blood loss that can result in iron deficiency anemia.

A. Multiple hospitalizations for COPD B. Concurrent treatment for GERD C. History of dermatitis D. History of breast cancer

Correct Answer is D

Explanation

A. Multiple hospitalizations for COPD are not a direct contraindication for HRT, although respiratory health should be monitored.
B. Concurrent treatment for GERD is not a contraindication for HRT.
C. History of dermatitis does not contraindicate the use of HRT.
D. History of breast cancer is a significant contraindication for HRT due to the potential for hormone therapy to stimulate the growth of hormone-sensitive cancer cells.

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The nurse is performing an assessment on a client with a diagnosis of pernicious anemia. Which finding would the nurse expect to note in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Blood loss is a major cause of iron deficiency in adults. Some sources of chronic blood loss in adults are all except:

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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The nurse is performing an assessment on a client with a diagnosis of pernicious anemia.

Which finding would the nurse expect to note in this client?