The nurse assesses that a client has a smooth, beefy red tongue. Which intervention does the nurse implement for this client?

a. Administer prescribed oral iron supple-ments.
b. Monitor the daily white blood cell count.
c. Provide a diet high in green leafy vegeta-bles.
d. Perform more frequent mouth care.


C
A smooth, beefy red tongue could signify glossitis, which is seen with vitamin B12 deficiency. Green leafy vegetables are high in vitamin B12 . Iron supplements would be used with iron defi-ciency anemia. The red blood cell count is what is affected by vitamin B12 deficiency—not the white blood cell count. The beefy red tongue is caused by the vitamin deficiency, not by poor mouth care.

Nursing

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