Med surge

A client with pernicious anemia asks why she must take vitamin B12 injections forever. Which is the nurse's best response? -"The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient acid." -"The reason for your vitamin deficiency is an excessive excretion of the vitamin because of kidney dysfunction." -"The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient amounts of a factor that allows the vitamin to be absorbed." -"The reason for your vitamin deficiency is an increased requirement for the vitamin because of rapid red blood cell production."

"The reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient amounts of a factor that allows the vitamin to be absorbed."

A client with macrocytic anemia has a burn on her foot and reports watching television while lying on a heating pad. Which action should be the nurse's first response? -Assess for potential abuse. -Check for diminished sensations. -Document the findings. -Clean and dress the area.

Check for diminished sensations.

The nurse is caring for a client who has a history of aplastic anemia. Which information from the nursing history indicates that the anemia is not being managed effectively? -poor skin turgor -blood pressure of 146/90 mm Hg -pallor of the skin and mucous membranes -heart rate of 68 bpm, bounding pulse

pallor of the skin and mucous membranes

A client takes prednisone, as ordered, for rheumatoid arthritis. During follow-up visits, the nurse should assess the client for common adverse reactions to this drug, such as: -fluid retention and weight gain -abdominal cramps and diarrhea -anorexia and weight loss -tetany and tremors.

fluid retention and weight gain