The nurse implements which of the following for the client who is starting a Schilling test? A. Administering methylcellulose (Citrucel). B. Starting a 24- to 48 hour urine specimen collection. C. Maintaining NPO status. D. Starting a 72 hour stool specimen collection. Correct Answer: B. Starting a… Read More »
A client with pernicious anemia asks why she must take vitamin B12 injections for the rest of her life. What is the nurse’s best response? A. “The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient acid.” B. “The reason for your vitamin deficiency is… Read More »
The nurse is assessing a client’s activity intolerance by having the client walk on a treadmill for 5 minutes. Which of the following indicates an abnormal response? A. Pulse rate increased by 20 bpm immediately after the activity. B. Respiratory rate decreased by 5 breaths/minute. C. Diastolic blood pressure increased by 7… Read More »
When comparing the hematocrit levels of a post-op client, the nurse notes that the hematocrit decreased from 36% to 34% on the third day even though the RBC and hemoglobin values remained stable at 4.5 million and 11.9 g/dL, respectively. Which nursing intervention is most appropriate? A. Check the dressing and drains for frank bleeding. … Read More »
A client is to receive epoetin (Epogen) injections. What laboratory value should the nurse assess before giving the injection? A. Hematocrit B. Partial thromboplastin time C. Hemoglobin concentration D. Prothrombin time Correct Answer: A. Hematocrit Epogen is a recombinant DNA form of erythropoietin, which stimulates the production… Read More »
A client states that she is afraid of receiving vitamin B12 injections because of the potential toxic reactions. What is the nurse’s best response to relieve these fears? A. “Vitamin B12 will cause ringing in the ears before a toxic level is reached.” B. “Vitamin B12 may cause a very mild skin rash initially.” … Read More »
A client with microcytic anemia is having trouble selecting food items from the hospital menu. Which food is best for the nurse to suggest for satisfying the client’s nutritional needs and personal preferences? A. Egg yolks B. Brown rice C. Vegetables D. Tea Correct Answer: B. Brown rice Brown… Read More »
A client with macrocytic anemia has a burn on her foot and states that she had been watching television while lying on a heating pad. What is the nurse’s first response? A. Assess for potential abuse. B. Check for diminished sensations. C. Document the findings. D. Clean and dress the area.… Read More »
Which of the following nursing assessments is a late symptom of polycythemia vera? A. Headache B. Dizziness C. Pruritus D. Shortness of breath Correct Answer: C. Pruritus Pruritus is a late symptom that results from abnormal histamine metabolism. Aquagenic pruritus, which occurs during or after a hot… Read More »
The nurse is teaching a client with polycythemia vera about potential complications from this disease. Which manifestations would the nurse include in the client’s teaching plan? Select all that apply. A. Hearing loss B. Visual disturbance C. Headache D. Orthopnea E. Gout F. Weight loss Correct Answers: B, C, D,… Read More »