A 52-year-old patient has a new diagnosis of pernicious anemia. The nurse determines that the patient understands the teaching about the disorder when the patient states, I
a. need to start eating more red meat and liver.
b. will stop having a glass of wine with dinner.
c. could choose nasal spray rather than injections of vitamin B12.
d. will need to take a proton pump inhibitor like omeprazole (Prilosec).
Question 2A patient who is receiving methotrexate for severe rheumatoid arthritis develops a megaloblastic anemia. The nurse will anticipate teaching the patient about increasing oral intake of
a. iron.
b. folic acid.
c. cobalamin (vitamin B12).
d. ascorbic acid (vitamin C).
Question 3Which menu choice indicates that the patient understands the nurse's teaching about best dietary choices for iron-deficiency anemia?
a. Omelet and whole wheat toast
b. Cantaloupe and cottage cheese
c. Strawberry and banana fruit plate
d. Cornmeal muffin and orange juice
Question 4A 62-year old man with chronic anemia is experiencing increased fatigue and occasional palpitations at rest. The nurse would expect the patient's laboratory findings to include
a. a hematocrit (Hct) of 38.
b. an RBC count of 4,500,000/L.
c. normal red blood cell (RBC) indices.
d. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L).
Question 5Which information shown in the accompanying figure about a patient who has just arrived in the emergency department is most urgent for the nurse to communicate to the health care provider?
a. Platelet count
b. White blood cell count
c. History of abdominal pain
d. Blood pressure and heart rate
Question 6The nurse reviews the complete blood count (CBC) and white blood cell (WBC) differential of a patient admitted with abdominal pain. Which information will be most important for the nurse to communicate to the health care provider?
a. Monocytes 4
b. Hemoglobin 13.6 g/dL
c. Platelet count 168,000/L
d. White blood cells (WBCs) 15,500/L
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