The patient, age 28, is admitted with complaints of nausea, sore tongue, tingling of the hands, and difficulty swallowing. Upon examination, her tongue is erythematous. What diagnostic procedure will support this diagnosis?

Schilling test

Erythrocyte Indices

Bone Marrow Biopsy

Radiologic Studies

Answer and Explanation

The Correct Answer is A

A.   Schilling test. The symptoms described are suggestive of pernicious anemia, which is typically diagnosed through a Schilling test to assess vitamin B12 absorption.
B.   Erythrocyte Indices. Erythrocyte indices are used to evaluate various aspects of red blood cell characteristics and are not specific to diagnosing pernicious anemia.
C.   Bone Marrow Biopsy. While bone marrow biopsy may be used to diagnose certain types of anemia, it is not the primary diagnostic test for pernicious anemia.
D.   Radiologic Studies. Radiologic studies are not typically used in the diagnosis of pernicious anemia.

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Correct Answer is D

Explanation

A. Syphilis can indeed affect many areas of the body, including the brain and heart, but this statement does not specifically address primary syphilis, which is characterized by the appearance of a painless sore (chancre) at the site of infection.
B. Syphilis does not typically resolve on its own. Without treatment, the infection can progress to more severe stages with potentially serious complications.
C. Syphilis is caused by a bacterial infection (Treponema pallidum) and is treated with antibiotics such as penicillin. Antiviral medications are not effective against bacterial infections like syphilis.
D. This statement is accurate and important for the prevention of syphilis transmission. Syphilis can be transmitted through vaginal, anal, or oral sex, but the risk of transmission is lower during oral sex compared to vaginal or anal intercourse.

A. "I will make sure to feel for changes in my underarm area." B. "Since I no longer have periods, I can do the exam at any time of the month." C. "It is important to press my breasts firmly to detect any lumps." D. "I can stand in the shower to perform the examination." E. "I will use my fingertips to check my breasts."

Correct Answer is ["A","B","D","E"]

Explanation

A. Feeling for changes in the underarm area is important as breast tissue extends into this region and lumps can form there.
B. Since menopausal women do not have periods, they can perform BSE at any consistent time each month to help remember to do it regularly.
C. Pressing the breasts too firmly could cause discomfort and is not necessary for detecting lumps.
D. Performing BSE in the shower is effective because the soapy water allows the fingers to move smoothly over the skin.
E. Using fingertips is the proper technique for checking breasts, as it allows for more sensitivity in detecting changes in the breast tissue.

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The patient, age 28, is admitted with complaints of nausea, sore tongue, tingling of the hands, and difficulty swallowing. Upon examination, her tongue is erythematous. What diagnostic procedure will support this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about primary syphilis. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing breast self-examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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