What are the most concerning assessment findings in an older client with a suspected vitamin B12 deficiency? Select all that apply.
1. Unintentional weight loss of ten pounds in three months
2. Progressive inability to walk safely without assistance
3. Nausea that prevents eating breakfast
4. Inability to state where they are or what day it is
5. Tingling in the feet and numbness in the hands
2. Progressive inability to walk safely without assistance
4. Inability to state where they are or what day it is
5. Tingling in the feet and numbness in the hands
Explanation: 1. Weight loss and decreased appetite are not directly caused by B12 deficiency and do not immediately contribute to it.
2. The signs and symptoms of vitamin B12 deficiency include neurologic changes such as difficulty walking and maintaining balance.
3. Nausea and vomiting are not associated with vitamin B12 deficiency.
4. The signs and symptoms of vitamin B12 deficiency include mental status changes and cognitive impairment.
5. The signs and symptoms of vitamin B12 deficiency include neurologic changes such as peripheral neuropathy manifested as numbness and tingling in the extremities.
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In what significant way does the NCLEX-PN examination differ from a paper and pencil multiple choice examination given during the program of study?
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