A nurse is planning care for a client with pernicious anemia. Which intervention should the nurse plan to implement?
Blood transfusions
Daily hydroxyurea
Iron supplements
Vitamin B injections
The Correct Answer is D
A. Blood transfusions are not a primary treatment for pernicious anemia; they may be used in severe cases but do not address the underlying cause of the condition, which is vitamin B12 deficiency.
B. Daily hydroxyurea is primarily used to treat certain types of cancer and sickle cell disease, not pernicious anemia.
C. Iron supplements are not effective in treating pernicious anemia, as the condition is due to a deficiency of vitamin B12, not iron.
D. Vitamin B injections are the correct intervention for pernicious anemia because the condition results from an inability to absorb vitamin B12 due to a lack of intrinsic factor, making injections necessary to restore vitamin levels.
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Correct Answer is D
Explanation
A. Milk and cheese are low in iron content and are not recommended for increasing iron levels in clients with iron-deficiency anemia.
B. Whole grain breads may contain some iron but are not as high in iron as other food sources.
C. Fresh fruits do not provide significant amounts of iron and are not a good source for addressing iron deficiency.
D. Red meat and organ meat are excellent sources of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant sources, making them the best choice for increasing iron intake in clients with iron-deficiency anemia.
Correct Answer is ["B","E","F"]
Explanation
A. Bananas are not a significant source of vitamin B12.
B. Eggs are a good source of vitamin B12 and should be included in the diet of someone with a deficiency.
C. Spinach contains folate but is not a reliable source of vitamin B12.
D. Carrots are not a source of vitamin B12.
E. Beef is an excellent source of vitamin B12 and should be consumed to help correct the deficiency.
F. Milk is a good source of vitamin B12 and can help increase intake for clients with a deficiency.
G. Quinoa does not contain vitamin B12 and should not be relied upon for addressing this deficiency.