The nurse will plan to teach a patient with Crohn's disease who has megaloblastic anemia about the need for
a. oral ferrous sulfate tablets.
b. regular blood transfusions.
c. iron dextran (Imferon) infusions.
d. cobalamin (B12) spray or injections.
d. cobalamin (B12) spray or injections.
Crohn's disease frequently affects the ileum, where absorption of cobalamin occurs. Cobalamin must be administered regularly by nasal spray or IM to correct the anemia. Iron deficiency does not cause megaloblastic anemia. The patient may need occasional transfusions but not regularly scheduled transfusions.
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The nurse reefers to the traditional clinical signs of death as:
1. Brain death. 2. Heart–lung death. 3. Cerebral death. 4. Clinical death.
One of the goals of a CCU is that all nurses be certified in a specialty. What is the most significant benefit that specialty certification has been shown to have?
A) Usually results in a pay raise in forward-thinking agencies B) Can take the place of continued education and is less expensive C) Validates and recognizes development of personal excellence D) Adds a cachet to one's résumé and achievement records
Percussion of kidneys is usually done to
a. assess the size and shape of the kidneys. c. elicit a fluid wave. b. detect pain in the renal area. d. evaluate fluid status.
Which assessment finding should the nurse document as abnormal?
A. The client's earlobes are attached vertically to the lateral side of the head. B. The top of the client's ears are slightly above the eye-occiput line. C. The posterior angle of the ears is approximately 5 degrees. D. The pinna have scales bilaterally.