MedSurg Exam 2

The nurse is caring for a patient diagnosed with vitamin B12 anemia. Which assessment would the nurse perform to determine if related conditions are present? Select all that apply.

• Motor grips and strengths

• Visual acuity

• Mood and affect

• Sensation in the extremities

• Urine characteristics

Answer explanation

Note that the correct answers all are related to cognitive or neurological issues

Which individual would be at risk for developing vitamin B12 anemia? SATA

• An older adult patient

• A perimenopausal patient

• A patient with a recent GI resection

• A patient who is a long term vegetarian

• A patient with blood loss following an accident

Answer explanation

All the correct answers have a relation to the GI system

Which type of anemia is suspected when the patient has spoon shaped fingernails?

• B12

• Folate

• Aplastic

• Iron

Which patient would be a candidate for receiving IV iron replacement

• Patient with complaints of occasional constipation while taking iron

• Patient with iron-deficiency anemia and celiac disease

• Patient with serum ferritin level of 90mcg/L

• Patient who is 20 weeks pregnant

Which factor would cause folic acid deficiency? SATA

• Pregnancy

• Radiation therapy

• Hemodialysis

• Vegetarian diet

• Alcoholism

Which is true regarding pernicious anemia?

• It is caused by lack of vitamin B12

• It is an autoimmune disease

• It is overcome by increasing dietary sources of animal proteins

• It stimulates the production of intrinsic factor in the stomach

When providing education to a patient receiving iron supplements, assessment of which body system would best provide information about the side effects the patient is experiencing?

• Gastrointestinal

• Neurological

• Integumentary

• Cardiovascular

Answer explanation

Oral medications often produce side effects in the GI tract

The nurse is caring for a patient with iron deficiency anemia. The patient has been asked to increase his daily dietary intake of iron. Which foods would the nurse suggest

• Meat, seafood, eggs, and dairy products

• Fortified cereals and grains, legumes, green leafy vegetables, bran, yeast extracts, and nuts

• Meat, dark green leafy vegetables, dried beans, and beets

• Fish, orange and purple vegetables, and iron-fortified cereals

The nurse is assessing a child who ingests clay. Which is the most likely cause for this condition?

• Depletion of iron in the body

• Reduction in the number of platelets

• Deficiency of vit B12

• Increase in production of RBCs

Alterations in which lab test would alert the nurse to a folic acid deficiency in a patient?

• Ferritin

• Random folate

• RBC folate

• Homocysteine