When teaching a client receiving cyanocobalamin for pernicious anemia, the nurse should instruct the client:
a. that cyanocobalamin can produce severe neurologic symptoms and to stop taking it if these symptoms occur.
b. to consume a diet high in raw eggs, meats, and vegetables.
c. to have erythropoientin level monitored at least every other month.
d. that damage to the nervous system may occur if the client stops the therapy abruptly.
ANS: D
Feedback
A Incorrect: This is a false statement.
B Incorrect: This is not appropriate.
C Incorrect: This is not appropriate.
D Correct: The nurse must stress compliance with cyanocobalamin therapy to avoid CNS damage.
You might also like to view...
A labor and delivery nurse wants to conduct research focused on the response of new parents toward their babies. The approach the nurse would like to use suggests that caring is a nurturing process
The nurse should review the ideas of which theorist because they are best in line with this research? 1. Swanson 2. Watson 3. Roach 4. Benner
A client is scheduled for lung resection surgery. What should the nurse keep in mind when determining this client's degree of risk for this major surgical procedure?
1. Age 2. Medications 3. General health 4. Blood pressure 5. Nutritional status
What will the nurse identify as symptoms of hypovolemic shock in a patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Temperature of 97.6°F (36.4°C) 2. Restlessness 3. Decrease in blood pressure of 20 mm Hg when the patient sits up 4. Capillary refill time greater than 3 seconds 5. Sinus bradycardia of 55 beats per minute
________ is a protein normally produced by the kidneys that participates in red blood cell homeostasis.
A. Intrinsic factor B. Erythropoietin C. Transferrin D. Transcobalamin II