A professor has taught a class of students about the characteristics of vitamin B12. Which statement by a student demonstrates a need for more education?
a. Vitamin B12 is absorbed in the terminal ileum.
b. Vitamin B12 is absorbed in its free (unbound) form in small amounts.
c. Vitamin B12 is necessary for platelet maturation.
d. Vitamin B12 binds to intrinsic factor.
Ans: c. Vitamin B12 is necessary for platelet maturation.
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The nurse is examining the eyes of an elderly client using the ophthalmoscope. The vessels of the eyes are narrow and tapered in appearance. The nurse would correctly choose which of the following actions?
1. Document the findings as normal. 2. Assess the pupils to determine if they equal, round, reactive to light, and accommodation. 3. Inquire about any past history of hypertension. 4. Inquire about a history of diabetes.
The patient has been admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNKS). Her blood glucose level is very high (880 mg/dL on admission)
The physician believes that her condition is to the result of large amounts of glucose solutions administered intravenously during kidney dialysis. The nurse would anticipate that the patient would ex-hibit: 1. a fruity breath and high level of ketones in her urine. 2. severe dehydration and hypernatremia caused by the hyperglycemia. 3. exactly the same symptoms and signs as diabetic ketoacidosis. 4. Kussmaul's respirations, nausea, and vomiting.
When conducting a physical examination of the skin, hair, and nails, the nurse notes the age of the patient. Why is this information important to the nurse?
1. It alerts the nurse to expect age-related changes. 2. It validates that skin changes in the older population are pathologic. 3. It reminds the nurse that scaly, dry skin is more common in young adults. 4. It reinforces the concept that age is the most significant risk factor for cancer.
A woman with a long history of controlled asthma has just had her first antenatal visit for her fourth child. She is late for a meeting and says she knows what to do. What is the best action the nurse can take?
A) Remind her to continue taking her asthma medications, to monitor her peak flow daily, and to monitor the baby's kicks in the second and third trimesters B) Acknowledge her need to leave but ask her to demonstrate the use of her inhaler and her peak flow meter before she goes; make any necessary corrections to her technique. Remind her to take her regular medications C) Schedule an appointment for her to return to discuss her asthma management D) Note in the chart that the woman was not counseled about her asthma