The nurse checks the results of a client's Schilling's test and notes the excretion of vitamin B12 is less than 10% in 24 hours. The nurse should plan to:
A)
instruct client to increase intake of foods high in iron.
B)
explain the need and rationale for supplemental vitamin B12.
C)
observe client for signs of bleeding tendencies.
D)
measure client's oxygen saturation levels.
B
Explanation:
A)
The expected excretion rate of vitamin B12 is greater than 10%; less than 10% indicates pernicious anemia, which would indicate a need for vitamin B12 supplementation. Iron replacement would be indicated for iron deficiency anemias. Platelet deficiencies warrant close monitoring for bleeding and decreased hemoglobin levels affect oxygenation.
Analysis
Planning
Physiological Integrity: Reduction of Risk Potential
B)
The expected excretion rate of vitamin B12 is greater than 10%; less than 10% indicates pernicious anemia, which would indicate a need for vitamin B12 supplementation. Iron replacement would be indicated for iron deficiency anemias. Platelet deficiencies warrant close monitoring for bleeding and decreased hemoglobin levels affect oxygenation.
Analysis
Planning
Physiological Integrity: Reduction of Risk Potential
C)
The expected excretion rate of vitamin B12 is greater than 10%; less than 10% indicates pernicious anemia, which would indicate a need for vitamin B12 supplementation. Iron replacement would be indicated for iron deficiency anemias. Platelet deficiencies warrant close monitoring for bleeding and decreased hemoglobin levels affect oxygenation.
Analysis
Planning
Physiological Integrity: Reduction of Risk Potential
D)
The expected excretion rate of vitamin B12 is greater than 10%; less than 10% indicates pernicious anemia, which would indicate a need for vitamin B12 supplementation. Iron replacement would be indicated for iron deficiency anemias. Platelet deficiencies warrant close monitoring for bleeding and decreased hemoglobin levels affect oxygenation.
Analysis
Planning
Physiological Integrity: Reduction of Risk Potential
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