A patient with vitamin B12 deficiency is admitted with symptoms of hypoxia, anemia, numbness of hands and feet, and oral stomatitis. The nurse expects the prescriber to order which of the following therapies?
a. IM cyanocobalamin and folic acid
b. IM cyanocobalamin and antibiotics
c. PO cyanocobalamin and folic acid
d. PO cyanocobalamin and blood transfusions
ANS: A
This patient is showing signs of more severe vitamin B12 deficiency with neurologic symptoms; therefore, cyanocobalamin should be given parenterally along with folic acid. Antibiotics are indicated only when signs of infection are present. Oral cyanocobalamin is not recommended.
You might also like to view...
A nurse is aware that a patient goal states, "The patient will eat at least 50% of all meals." The nurse has observed the patient eating more than 50% of all meals for 2 days. What is the most accurate evaluation statement?
a. Ate well for all meals. b. Problem is resolved; goal is met. c. Goal is met; patient ate 50% of all meals on 7/12 and 7/13. d. Ate 50% of meals.
The client has experienced a postpartum hemorrhage at six hours postpartum. After controlling the hemorrhage, the client's partner asks what would cause a hemorrhage. How should the nurse respond?
A. "Sometimes the uterus relaxes and excessive bleeding occurs." B. "The blood collected in the vagina, and poured out when your partner stood up." C. "Bottle feeding prevents the uterus from getting enough stimulation to contract." D. "The placenta had embedded into the uterine tissue abnormally."
In administering medications, the five rights include client, drug, route, and time. What is the fifth right?
A) Heart rate B) Dosage C) Intrathecal D) Pain level
________ lenses are prescribed to correct vision affected by presbyopia.
Fill in the blank(s) with the appropriate word(s).