A patient is diagnosed with moderate vitamin B12 deficiency. The nurse reviews the laboratory work and notes that the plasma B12 is low; also, a Schilling test reveals B12 malabsorption. The provider orders oral cyanocobalamin 500 mcg per day
The nurse will contact the provider to: a. discuss IM dosing.
b. request an order for folic acid.
c. suggest an increased dose.
d. suggest platelet transfusion therapy.
C
Patients with vitamin B12 deficiency associated with B12 malabsorption need increased doses of oral cyanocobalamin of 1000 to 10,000 mcg/day. It is not necessary to give this drug intramus-cularly. Folic acid is indicated when B12 deficiency is severe. Platelets are given when B12 defi-ciency is severe.
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A 48-year-old woman presenting for care is seeking information about hormone therapy (HT) for the treatment of her perimenopausal symptoms
The patient's need for relief from hot flashes and other symptoms will be weighed carefully against the increased risks of what complications of HT? Select all that apply. A) Anaphylaxis B) Osteoporosis C) Breast cancer D) Cardiovascular disease E) Venous thromboembolism
The nurse is caring for a patient who requires a moist-to-dry dressing. Which action by the nurse is appropriate during the procedure?
a. Applies a dry absorbent outer dressing b. Packs flat gauze into the wound bed c. Soaks the wound packing with antiseptic d. Moistens the old dressing before removal
As a student nurse if you record an abnormal clinical measurement would you?
a. document this in the patient’s notes b. call the doctor immediately c. inform a health care assistant d. inform a senior nurse or your mentor
John is being treated for PTSD symptoms, which began shortly after his retirement from the military. He has had nightmares, flashbacks of traumatic events from combat, and episodes of acute anxiety
His wife is asking the nurse how he could be developing PTSD at this time when he hasn't been in a combat situation for over 10 years. Which of these teaching points are evidence-based pieces of information to share with John's wife? Select all that apply. A. Retirement has been identified as a common precipitating factor for PTSD. B. PTSD symptoms may develop at any time after a trauma. C. PTSD is not the appropriate diagnosis, according to DSM-5, unless the trauma occurred greater than 5 years ago. D. This is probably not PTSD but rather a brief adjustment reaction to retirement.