A patient is being assessed for a suspected deficit in intrinsic factor synthesis. What diagnostic or assessment finding is the most likely rationale for this examination of intrinsic factor production?
A) Muscle wasting
B) Chronic jaundice in the absence of liver disease
C) The presence of fat in the patient's stool
D) Persistently low hemoglobin and hematocrit
Ans: D
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In the absence of intrinsic factor, vitamin B12 cannot be absorbed, and pernicious anemia results. This would result in a marked reduction in hemoglobin and hematocrit.
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The nurse has been asked to assume a first-level management role on the nursing unit. Which statement indicates that this nurse will need further mentoring in the new role?
1. "I won't be able to increase my team's motivation. That has to come from within them." 2. "As a manager, I will be available for my team if problems with clients arise." 3. "One of my roles will be to make sure assignments are clear and understandable." 4. "I will still be responsible for the care being provided even if I am off the unit during the day to attend meetings."
A nurse identifies a nursing diagnosis of Risk for Ineffective Breathing Pattern related to incisional pain and restricted positioning for a client who has had a nephrectomy
Which of the following would be most appropriate for the nurse to include in the client's plan of care? A) Administer isotonic fluid therapy as ordered. B) Keep the drainage catheter below the level of insertion. C) Encourage use of incentive spirometer every 2 hours. D) Monitor temperature every 4 hours.
Which of the following are verbs that are helpful in writing measurable outcomes? Select all that apply
A) know B) define C) hear D) verbalize E) feel F) list
IV containers should always be held above the level of the heart to prevent blood from backing up into the line
Indicate whether the statement is true or false.