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Questions 227

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Extract:

When explaining the therapeutic regimen of vitamin B12 for pernicious anemia to a patient the nurse should explain that:


Question 1 of 5

When explaining the therapeutic regimen of vitamin B12 for pernicious anemia to a patient the nurse should explain that:

Correct Answer: C

Rationale: Monthly B12 injections maintain control in pernicious anemia due to absorption deficits.

Extract:


Question 2 of 5

As a general guide for emergency management of acute alcohol intoxication, it is important for the nurse initially to obtain data regarding which of the following?

Correct Answer: B

Rationale: Blood alcohol levels are generally obtained to determine the level of intoxication. The amount of alcohol consumed determines how much medication the client needs for detoxification and treatment. Reports of alcohol consumption are notoriously inaccurate.

Question 3 of 5

A school-age child with terminal leukemia is admitted to the pediatric unit. The nurse must discuss advance directives with the child's parents. The nurse should include which information?

Correct Answer: C

Rationale: The nurse shouldn't give a positive appraisal of the child's prognosis because doing so gives the parents false hope. The nurse must be honest about the child's prognosis and provide them accurate information about treatment options, which include palliative care, comfort care, and pain management. The physician - not the nurse - should discuss such treatment options as chemotherapy or bone marrow transplantation, if indicated.

Extract:

A newly diagnosed HIV patient is in your care. The patient has a positive PPD result of 5 mm induration and a normal CXR.


Question 4 of 5

Which of the following represents preferred treatment of this patient?

Correct Answer: A

Rationale: INH with pyridoxine is the standard treatment for latent TB in HIV patients with a positive PPD.

Extract:

Anaphylactic shock is a serious type of blood transfusion reaction.


Question 5 of 5

The pathophysiology of anaphylaxis is

Correct Answer: D

Rationale: Anaphylaxis involves vasodilation and bronchoconstriction, leading to hypotension and respiratory distress.

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