The nurse knows that pernicious anemia is caused by which of the following?

Damage to kidneys, which cause decrease in erythropoietin production

Destruction of gastric parietal cells, which decrease intrinsic factor production

Decrease in RBC in the bone marrow

Hemolysis of RBC

Answer and Explanation

The Correct Answer is B

A.   Damage to kidneys, which cause a decrease in erythropoietin production: This describes anemia of chronic disease or kidney-related anemia, not pernicious anemia.
B.   Destruction of gastric parietal cells, which decrease intrinsic factor production: Pernicious anemia results from the loss of intrinsic factor, essential for vitamin B12 absorption in the intestine.
C.   Decrease in RBC in the bone marrow: This is more characteristic of aplastic anemia or bone marrow suppression rather than pernicious anemia.
D.   Hemolysis of RBC: This describes hemolytic anemia rather than pernicious anemia.

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Correct Answer is B

Explanation

A. "This medication will help my new kidney make adequate urine": Cyclosporine suppresses the immune system to prevent organ rejection but does not directly affect urine production.
B. "I will need to take this medication for the rest of my life": Lifelong immunosuppression is required to maintain the function of a transplanted organ.
C. "I will take this medication until my BUN returns to normal": The medication is necessary regardless of lab values to prevent rejection.
D. "This medication will boost my immune system": Cyclosporine suppresses, not boosts, the immune system.

A. Impaired Physical Mobility B. Fatigue C. Impaired Cognition D. Impaired Swallowing

Correct Answer is B

Explanation

A. Impaired Physical Mobility: although possible, it is not as common as fatigue in SLE patients.
B. Fatigue: Persistent fatigue is a hallmark symptom of SLE due to inflammation, anemia, and immune system dysregulation.
C. Impaired Cognition: While cognitive issues may occur, they are not the primary concern in most patients.
D. Impaired Swallowing: This is not a typical issue associated with SLE.

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The nurse knows that pernicious anemia is caused by which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about cyclosporine (an immunosuppression medication) for a client who is postoperative following a renal transplant. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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