A patient with vitamin B12 deficiency is admitted with symptoms of hypoxia, anemia, numbness of hands and feet, and oral stomatitis. The nurse expects the prescriber to order which of the fol-lowing therapies?
a. IM cyanocobalamin and folic acid
b. IM cyanocobalamin and antibiotics
c. PO cyanocobalamin and folic acid
d. PO cyanocobalamin and blood transfu-sions
A
This patient is showing signs of more severe vitamin B12 deficiency with neurologic symptoms; therefore, cyanocobalamin should be given parenterally along with folic acid. Antibiotics are in-dicated only when signs of infection are present. Oral cyanocobalamin is not recommended.
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When acetylsalicylic acid (aspirin) is administered in low doses, it blocks the synthesis of thromboxane A2 . What physiological effect results from this action?
A) Inflammation is relieved. B) Core body temperature is reduced. C) Pain is relieved. D) Platelet aggregation is inhibited.
Which technique should the nurse use to determine if temporomandibular joint abnormalities are present?
A. Observe the joints as the client chews. B. Palpate the joints during movement for pain, tenderness, and crepitus. C. Observe for swelling or asymmetric joint protrusion when the mouth is closed. D. Ask the client to perform active range of motion for these joints.
A client is to undergo an invasive procedure by a physician. The client is questioning some of the terminology in the consent form. Which of the following is the best response by the nurse?
A) "You should have asked your physician when he was in here." B) "I'll call your physician back in the room to answer your questions." C) "Just sign the form, and I'll make sure your physician talks to you before he begins the procedure." D) "I'll explain whatever you don't understand."
Which does the nurse document to indicate that the nose, sinuses, and mouth are within normal limits?
1. Uvula and soft palate move symmetrically. 2. Maxillary sinuses sensitive to firm pressure. 3. Nasal mucosa is pink; septum shifted to left. 4. Tongue is dry, midline, with smooth margins.