Pernicious anemia occurs because of the lack of intrinsic factor that is necessary for the absorption of vitamin B12. Older clients are at risk for this anemia because of
A) a decrease in hydrochloric acid in the stomach.
B) decreased peristalsis in the gastrointestinal tract.
C) the tendency for older clients to be dependent on laxatives.
D) an increased incidence of cholelithiasis.
A
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Mr. L is having a myelogram study to evaluate his back pain. Appropriate nursing care would include all of the following except
A) keeping the head of the bed elevated at least 30 to 45 degrees. B) restricting fluids. C) avoiding phenothiazine medications. D) assuring liberal fluid intake.
A nurse is preparing a patient for scheduled transesophageal echocardiography. What action should the nurse perform?
A) Instruct the patient to drink 1 liter of water before the test. B) Administer IV benzodiazepines and opioids. C) Inform the patient that she will remain on bed rest following the procedure. D) Inform the patient that an access line will be initiated in her femoral artery.
A confused older adult patient is wearing thick glasses and a hearing aid. Which intervention is priority to facilitate communication?
a. Focus on tasks to be completed. b. Allow time for the patient to respond. c. Limit conversations with the patient. d. Use gestures and other nonverbal cues.
The wife of an abusive husband reports to the nurse that her husband has been increasingly more abusive over the past year. Which of the following should be the first action that is taken by the nurse?
a. Arrange for the couple to attend marital counseling. b. Develop a plan for the wife's escape if the violence starts again. c. Teach the client how to avoid initiating her husband's anger. d. Work with the client on development of self-esteem.