What will the nurse most likely assess in an older patient with a vitamin B12 deficiency? Standard Text: Select all that apply
1. Ataxia
2. Imbalanced walking
3. Nausea and vomiting
4. Cognitive impairment
5. Peripheral neuropathy
1,2,4,5
Rationale: The signs and symptoms of vitamin B12 deficiency include neurologic changes such as ataxia.
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A) Skin biopsy B) Culture C) Wood's lamp D) Patch test
The nurse is teaching a 60-year-old client newly diagnosed as having type 2 diabetes about ways to optimize health outcomes. The nurse tells the client that smoking cessation is especially important for the client because it:
1. Promotes weight gain. 2. Is a major factor in the development of diabetic neuropathy. 3. Accelerates arteriosclerotic changes in blood vessels. 4. Increases insulin resistance.
The spouse of a patient recently diagnosed with terminal esophageal cancer is angry because the patient did not seek help sooner. Which response by the nurse would be the most appropriate at this time?
A. "It is not important to know that right now." B. "You will never know." C. "Your spouse was probably afraid of getting bad news." D. "Unfortunately, the early symptoms are often vague and often not recognized as something serious."
The nurse is caring for a client receiving gentamicin IV. Which adverse effect would the nurse report to the prescriber immediately?
1. Nausea 2. Diarrhea 3. Ototoxicity 4. Increased urinary output