An older patient has been diagnosed with pernicious anemia. The nurse knows that this condition could be related to:
a. Increased gastric acid secretion.
b. Decreased gastric acid secretion.
c. Delayed gastrointestinal emptying time.
d. Increased gastrointestinal emptying time.
ANS: B
Gastric acid secretion decreases with aging and may cause pernicious anemia (because it interferes with vitamin B12 absorption), iron-deficiency anemia, and malabsorption of calcium.
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A client's wife has been informed by the physician that her spouse has a permanent C2–C3 spinal injury, which has resulted in permanent quadriplegia
The wife states that she does not want the physician or nursing staff to tell the client about his injury. The client is awake, alert, and oriented when he asks his nurse to tell him what has happened. Based on which ethical principles does the nurse answer the patient's questions? a. Veracity c. Autonomy b. Justice d. Nonmaleficence
The nurse manager of a unit is sharing the most recent results of a patient satisfaction survey to motivate staff. This nurse manager is a _________________leader
a. Transformational b. Transactional c. Situational d. Autocratic
The process that helps clients cope with illness or surgery after leaving the institution is called
1. client education. 2. preventative care. 3. discharge planning. 4. role change planning.
A client is experiencing a significant change from her normal health. In the first stage of an acute illness, the nurse can expect the client to report having: (Select all that apply.)
1. cough. 2. pain. 3. fever. 4. bleeding. 5. thirst