The nurse assesses a client's oral cavity and makes the discovery ...

[SGallaher96]

The nurse assesses a client's oral cavity and makes the discovery shown in the photo below:
 
  What action by the nurse is most appropriate?
  a.
  Encourage the client to have genetic testing.
  b.
  Instruct the client on high-fiber foods.
  c.
  Place the client in protective precautions.
  d.
  Teach the client about cobalamin therapy.

Question 2

A client has been treated for a deep vein thrombus and today presents to the clinic with petechiae. Laboratory results show a platelet count of 42,000/mm3. The nurse reviews the client's medication list to determine if the client is taking which drug?
 
  a. Enoxaparin (Lovenox)
  b. Salicylates (aspirin)
  c. Unfractionated heparin
  d. Warfarin (Coumadin)

[tkempin]

Answer to Question 1

ANS: D
This condition is known as glossitis, and is characteristic of B12 anemia. If the anemia is a pernicious anemia, it is treated with cobalamin. Genetic testing is not a priority for this condition. The client does not need high-fiber foods or protective precautions.

Answer to Question 2

ANS: C
This client has manifestations of heparin-induced thrombocytopenia. Enoxaparin, salicylates, and warfarin do not cause this condition.