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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Monitor fluid intake and output. Monitoring fluid intake and output is essential in patients with multiple myeloma to assess for signs of dehydration or fluid overload, which can occur due to renal complications.
B. Limit weight bearing and ambulation. Limiting weight bearing and ambulation is not a
standard intervention for multiple myeloma unless there are specific complications such as bone fractures.
C. Assess lymph nodes for enlargement. Multiple myeloma primarily affects the bone marrow and plasma cells, not the lymph nodes.
D. Administer calcium supplements. While calcium supplementation may be necessary in some cases of multiple myeloma, it is not a priority action upon admission without further assessment.
Correct Answer is C
Explanation
A. Too few red blood cells is termed "anemia."
B. Leukocytosis refers to an abnormally high number of white blood cells.
C. Leukopenia is a condition characterized by a decreased number of white blood cells in the blood.
D. Too few platelets is known as "thrombocytopenia."
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