The nurse caring for a client with vitamin B12 deficiency secondary to impaired B12 absorption anticipates the client will receive:
a. intramuscular cyanocobalamin.
b. oral vitamin B12.
c. intravenous sodium ferric gluconate complex.
d. intravenous epoetin alfa recombinant.
ANS: A
Feedback
A Correct: This is treated with a loading dose of 1000 mcg followed by 1000 mcg IM for four consecutive days.
B Incorrect: If the deficiency is caused by a malabsorption condition, oral replacement is of little value.
C Incorrect: This is parenteral iron, which will not treat vitamin B12 deficiency.
D Incorrect: This treats chemotherapy-induced anemia and will not treat vitamin B12 deficiency.
You might also like to view...
An instructor is describing pluralistic health care systems to a group of community health nursing students. Which of the following would the instructor be least likely to include?
A) Permanent health workers B) Lay practices C) Household remedies D) Traditional healing systems
The client is to receive Kantrex (kanamycin sulfate) 1 g po q6h for 5 days. What is this dose of medication in milligrams?
A) 1 B) 10 C) 100 D) 1000
A client is scheduled to have a Pap smear. After the nurse teaches the client about the Pap smear, which of the following client statements indicates successful teaching?
A) "I need to douche the night before with a mild vinegar solution.". B) "I will take a bath first thing that morning to make sure I'm clean.". C) "I will not engage in sexual intercourse for 48 hours before the test.". D) "I will get a clean urine specimen when I first wake up the morning of the test.".
The nurse is transcribing new orders written for a patient with a substance abuse history. Choose the medication ordered that has the greatest risk for abuse
a. Lomotil b. Diazepam c. Phenobarbital d. Lortab