Last year a patient had a subtotal gastrectomy after being diagnosed with stomach cancer. Now the patient says, "I'd rather take vitamin pills than shots." Which information should the nurse provide to this patient?
a. Most patients have difficulty remembering to take the vitamins. Deficits can precipitate a recurrence of the cancer.
b. Injections are needed, because the loss of stomach tissue reduces absorption of vitamin B12.
c. Injections will eventually be replaced with pills, but it is too soon after the gastrectomy.
d. Injections prevent development of NPH and delirium.
B
Vitamin B12 is absorbed in the stomach, aided by intrinsic factor. Deficiency leads to dementia. Regular supplementation of vitamin B12 prevents the deficiency and development of cognitive symptoms. The injections will be needed for life.
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The nurse can list when of the following as information that is not routinely included in a resume?
a. Age c. Professional mem-berships b. Education d. Occupational expe-rience
Which finding would be most likely in a child diagnosed with separation anxiety disorder?
A. The child has a history of antisocial behaviors. B. The child's mother is diagnosed with an anxiety disorder. C. The child previously had an extroverted temperament. D. The child's mother and father have an inconsistent parenting style.
The nurse and a 69-year-old client are discussing the client's report of "Not hearing as well as I used to; I must be getting old."
Which of the following nursing responses is most therapeutic regarding the client's assumption of the cause of the diminished hearing? 1. "What makes you think you don't hear as well as you used to?" 2. "Well, hearing loss does seem to be more of a problem as we age." 3. "You may be right, but I suggest you see an otolaryngologist just to be sure." 4. "Do you turn the television up louder, or is it difficult to hear on the telephone?"
The nurse is preparing to perform a physical assessment on a 10-year-old girl. The nurse gives her the option of her mother either staying in the room or leaving. This action should be considered:
a. appropriate because of child's age. b. appropriate because mother would be uncomfortable making decisions for child. c. inappropriate because of child's age. d. inappropriate because child is same sex as mother.