The client had stomach cancer and a surgical removal of his stomach several years ago. The physician prescribed cyanocobalamin (Crystamine). The client stopped this drug several months ago. What will the nurse most likely assess in this client?
1. Memory loss, numbness in the limbs, and depression
2. A gradual decrease in red blood cell counts
3. Jaundice, and tarry stools
4. Low hemoglobin and hematocrit counts
Correct Answer: 1
Rationale 1: The most common cause of vitamin B12 deficiency (pernicious anemia) is absence of intrinsic factor, a protein secreted by stomach cells. This protein is required for vitamin B12 to be absorbed from the intestine. Symptoms of pernicious anemia involve the nervous system, and include memory loss, confusion, tingling or numbness in the limbs, and mood disturbances.
Rationale 2: A decrease in red blood cells does not occur with pernicious anemia.
Rationale 3: Jaundice and tarry stools do not occur with pernicious anemia.
Rationale 4: Low hemoglobin and hematocrit counts do not occur with pernicious anemia. A decrease in red blood cells does not occur with pernicious anemia.
You might also like to view...
The nurse identifies several important examples of nonverbal communication, such as: Standard Text: Select all that apply
1. Posture. 2. Physical appearance. 3. Facial expressions. 4. Eye contact. 5. Text messages.
A laboring woman's husband tells the nurse that his wife is shaking and does not want him to touch her anymore. The nurse should explain that these characteristics are normal and should not be taken personally
What phase of labor is the woman likely to be in? a. Active c. Second b. First d. Transition
A client has been cleaning window screens for the past 2 days and has now developed sneezing, thin, watery nasal discharge, and redness and itching of the eyes. Which type of allergic reaction should the nurse suspect?
a. allergic rhinitis c. animal dander hypersensitivity b. anaphylaxis d. contact dermatitis
In the context of calcium channel blockers, how do dihydropyridines differ from nondihydropyridines?
A. Unlike nondihydropyridines, dihydropyridines are widely used for their antiarrhythmic effects. B. Unlike dihydropyridines, nondihydropyridines are not arterial vasodilators. C. Unlike dihydropyridines, nondihydropyridines increase heart rate and AV conduction. D. Unlike nondihydropyridines, dihydropyridines do not have direct antiarrhythmic effects on the heart.