Which finding for a 19-year-old female who is a vegan may indicate the need for cobalamin supplementation?

a. Paresthesias
b. Ecchymoses
c. Dry, scaly skin
d. Gingival swelling


a. Paresthesias
Cobalamin (vitamin B12) cannot be obtained from foods of plant origin, so the patient will be most at risk for signs of cobalamin deficiency, such as paresthesias, peripheral neuropathy, and anemia.

Nursing

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A nurse assesses a client with early-onset multiple sclerosis (MS). Which clinical manifestation should the nurse expect to find?

a. Hyperresponsive reflexes b. Excessive somnolence c. Nystagmus d. Heat intolerance

Nursing

Which statement made by an older adult patient would require further teaching by the nurse?

a. "Nonprescription drugs will not interfere with my prescribed medications." b. "I can get non-childproof lids for my pills from the pharmacist." c. "Alcohol can affect drug action." d. "I will report any signs of drug toxicity to my doctor."

Nursing

The nurse is preparing a program for her peers concerning the theories of aging. When incorporating the concepts associated with the immune dysregulation theory, which of the following should be incorporated?

A) As the person ages, the ability of the immune system to differentiate between invaders and normal tissues diminishes. B) With increasing age, the immune system is no longer able to defend the body from foreign invaders. C) Multiple changes in the immune system disrupt the regulation between the multiple components of the immune process. D) Immune cells attack the normal body tissues, causing conditions that are often associated with aging.

Nursing

Which beverage acts as a stimulant and increases peristalsis in the intestines to push fecal material through faster?

A. grape juice B. coffee C. milk D. green tea

Nursing