The nurse helps minimize an older adult patient's risk of developing pernicious anemia by
a. suggesting supplementing vitamin A.
b. encouraging regular intake of citrus.
c. identifying iron-rich foods.
d. suggesting supplementing vitamin B12.
D
Malabsorption of B12 can be caused by the effect of antibodies on gastric parietal cells and a de-crease in intrinsic factor, the underlying cause of pernicious anemia. The prevalence of pernicious anemia increases significantly with aging. Pernicious anemia is not associated with vitamin A, citrus, or iron.
You might also like to view...
The nurse learns that a patient of Hispanic culture has an income below the national poverty level. The nurse realizes that this patient is prone to experiencing which diseases of the poor?Select all that apply.Note: Credit will be given only if all correct choices and no incorrect choices are selected.
A. Tuberculosis B. Malnutrition C. Lead poisoning D. Heart disease E. Cancer
The nurse is instructing the paralyzed client on a method to stimulate the relaxation of the urinary sphincter aiding in urinary elimination. Which instruction would be correct?
A) Lightly massage or tap the skin above the pubic area. B) Press directly over the urinary bladder. C) Bear down increasing abdominal pressure. D) Pour water over the genitals.
The client who has had a prosthetic valve replacement asks his nurse why he must take anticoagulants for the rest of his life. What is the nurse's best response?
A. "You are now at greater risk for a heart attack, and the anticoagulants can reduce that risk." B. "Blood clots form more easily on replacement valves and areas inside the heart where stitches have been placed." C. "The vein taken from your leg reduces circulation in the leg, making blood return to the heart much slower." D. "The surgery left a lot of small clots in your heart and lungs; the anticoagulants will slowly dissolve these unnecessary clots."
A patient with a brain tumor asks why a chest x-ray is needed when the tumor is in the head. What is the nurse's most appropriate response?
A. "Don't get so upset about this! It's routine. The doctor will talk to you later." B. "The physician may be trying to determine if this is a metastatic brain tumor, as the most common source of these tumors is cancer of the lung." C. "This is just a precautionary measure. The physician often prescribes chest x-rays." D. "The escort is here to take you to radiology, so we'll discuss this when you return."