A client is scheduled for a Schilling test in the morning. What diagnostic results would be indicated if the test is positive? Select all that apply
A) Iron-deficiency anemia
B) Pernicious anemia
C) Macrocytic anemia
D) Malabsorption syndromes
E) A gastric ulcer
B, C, D
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A Schilling test is used to diagnose pernicious anemia, macrocytic anemia, and malabsorption syndromes. A blood test to determine iron-deficiency anemia would be diagnostic. A gastric ulcer can be determined with a gastroesophagoscopy.
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A child who is medically fragile is being discharged home after a long hospital stay. The child will require someone to provide medical treatments several times a day. In planning discharge, the nurse will:
1. Train all members of the family to take part in the child's care. 2. Plan for a home health nurse to visit the child four times a day to provide the medical treatment. 3. Determine with the family which family members may be trained to provide care for the child. 4. Evaluate the size of the child's room for therapy.
A nurse reviews prescriptions for an 82-year-old client with a fractured left hip. Which prescription should alert the nurse to contact the provider and express concerns for client safety?
a. Meperidine (Demerol) 50 mg IV every 4 hours b. Patient-controlled analgesia (PCA) with morphine sulfate c. Percocet 2 tablets orally every 6 hours PRN for pain d. Ibuprofen elixir every 8 hours for first 2 days
A patient tells the nurse, "I am an atheist. I do not believe in God." What would be an appropriate response by the nurse?
A) "Well, I believe in God and you should too." B) "I respect what you choose to believe in." C) "How can you deny the existence of God?" D) "What makes you think you are an atheist?"
The nurse is monitoring a woman who is receiving an oxytocin infusion to stimulate contractions. An assessment reveals contractions of 100 seconds with 50-second intervals between them. The first nursing action should be to:
a. Slow down the oxytocin infusion rate. b. Discontinue the oxytocin infusion. c. Increase the oxytocin infusion rate. d. Notify the primary health care provider.