The theory developed for WC was that the proton inhibitor decreased the possibly already reduced absorption of B12, causing PN. When blood was analyzed, B12 was in the normal range but, considering the large doses that WC had been taking for several
weeks without taking Nexium, it was assumed that B12 should have been higher. A clue that this was correct was the elevation of folic acid. If B12 is low, why would folic acid be higher than normal? (Hint: look up the methyl folate trap).
The theory of the methyl folate trap simply states that as B12 decreases, folate increases to compensate.
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A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is:
a. Seen at 3 days of age. b. The residue of a milk curd. c. Passed in the first 24 hours of life. d. Lighter in color and looser in consistency.
Which client has the greatest need for comprehensive discharge planning?
1) A woman who has just given birth to her second child and lives with her husband and 18-month-old daughter 2) A man who has been readmitted for exacerbation of his chronic obstructive pulmonary disease 3) A 12-year-old boy who had outpatient surgery on his knee and lives with his mother 4) A woman who was just diagnosed with renal failure and has started peritoneal dialysis
The nurse is caring for a client with a resting heart rate of 120 beats/minute. Which nursing intervention would be the highest priority in plan of care?
A) Arrange periods of activity with periods of rest. B) Instruct to sit on the edge of the bed before rising. C) Place a pillow under the feet and ankles. D) Maintain strict intake and output.
A patient who was stranded during a snowstorm is admitted for frostbite of the fingers and toes. Which actions should the nurse expect to perform for this patient?
Select all that apply. 1. Elevate the feet and hands. 2. Provide pain medication as prescribed. 3. Apply elastic compression bandages to the feet and hands. 4. Massage the fingers and toes for 10 minutes after warming. 5. Warm the digits with circulating water for 20 to 30 minutes.