A client, diagnosed with a vitamin B-12 deficiency, tells the nurse that she does not want to receive injections every month to treat the disorder

Which of the following should the nurse instruct the client regarding the effects of vitamin B-12 deficiency? (Select all that apply.)
1. Paresthesias in the hands
2. Paresthesias in the feet
3. Ataxia
4. Spinal cord degeneration
5. Loss of memory
6. Loss of the sense of smell


1, 2, 3, 4
Vitamin B-12 deficiency produces neurological abnormalities such as symmetrical paresthesias in the hands and feet, diminished vibratory and proprioceptive sense, ataxia, and spinal cord degeneration. Vitamin B-12 deficiency does not produce memory loss or loss of smell.

Nursing

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A child has an anaphylactic reaction to contrast dye used in an X-ray. After the emergency is over and the child is stable in the intensive care unit, the nurse explains to the parents what happens in anaphylaxis

The nurse explains that histamine is released during an anaphylactic reaction and that the action of histamine includes: Standard Text: Select all that apply. 1. Release of IgE antibodies. 2. Smooth muscle contraction. 3. Increased capillary permeability. 4. Vasoconstriction. 5. Red cell destructions

Nursing

During a therapy session a client cries as the nurse explores the relationship of the client and her

now-deceased mother. The client sobs "I shouldn't be blubbering like this.". A response by the nurse that will hinder communication is a. "The relationship with your mother is very painful for you.". b. "I can see that you feel sad about this situation.". c. "Why do you think you are so upset?" d. "Crying is a way of expressing the hurt you're experiencing.".

Nursing

A client presented for a pre-op appointment. At the appointment, the wife states that the husband has been giving her the cold shoulder ever since the surgery was scheduled. The nurse knows this behavior to be:

a. denial c. passive-aggressive b. defensive d. hidden agenda

Nursing

Although Mexican Americans generally eat more fruit than other cultures that live in the United States, they still have health problems associated with diet. What is it that Mexican Americans have a high prevalence of?

A) Obesity C) Pancreatitis B) Lactose intolerance D) Vitamin B deficiency

Nursing