A patient is diagnosed with moderate vitamin B12 deficiency. The nurse reviews the laboratory work and notes that the plasma B12 is low; also, a Schilling test reveals B12 malabsorption
The provider orders oral cyanocobalamin 500 mcg per day. The nurse will contact the provider to:
a. discuss IM dosing.
b. request an order for folic acid.
c. suggest an increased dose.
d. suggest platelet transfusion therapy.
ANS: C
Patients with vitamin B12 deficiency associated with B12 malabsorption need increased doses of oral cyanocobalamin of 1000 to 10,000 mcg/day. It is not necessary to give this drug intramuscularly. Folic acid is indicated when B12 deficiency is severe. Platelets are given when B12 deficiency is severe.
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U-100 on the label of an insulin vial means: ______________________________.
On which of these ethical principles is whistle-blowing based?
a. beneficence and utility c. justice and nonmaleficence b. fidelity and teleology d. veracity and nonmaleficence
The nurses on a medical-surgical floor disagree with the care being provided to a patient by a particular physician. They contact the ethics committee at the hospital. Which action should they expect the committee to take?
1. Assume primary care of the patient. 2. Censure the physician for inappropriate care. 3. Turn the information over to a judge. 4. Make recommendations to resolve conflict.
The nurse would like to ensure that a cancer client receives the maximum benefit from music being played in the client's room. According to research, which intervention should the nurse plan?
1. Use music popular in the happiest years of the client's life. 2. Play classical music quietly in the background. 3. Plan time for the nurse to stay with the client while the music is played. 4. Play only music that has a positive, uplifting message.