Author Question: An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to ... (Read 76 times)

mwit1967 · **on:** Jun 25, 2018

An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to

a. provide a diet high in vitamin K.
b. alternate periods of rest and activity.
c. teach the patient how to avoid injury.
d. place the patient on protective isolation.

Question 2

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).

jonathanballen97 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Nursing care for patients with anemia should alternate periods of rest and activity to encourage activity without causing undue fatigue. There is no indication that the patient has a bleeding disorder, so a diet high in vitamin K or teaching about how to avoid injury is not needed. Protective isolation might be used for a patient with aplastic anemia, but it is not indicated for hemolytic anemia.

Answer to Question 2

ANS: C
Because pernicious anemia prevents the absorption of vitamin B12, this patient requires injections or intranasal administration of cobalamin. Alcohol use does not cause cobalamin deficiency. Proton pump inhibitors decrease the absorption of vitamin B12. Eating more foods rich in vitamin B12 is not helpful because the lack of intrinsic factor prevents absorption of the vitamin.