Author Question: Patients with pernicious anemia must receive injections of which medication for the rest of their ... (Read 45 times)

awywial · **on:** Jul 11, 2018

Patients with pernicious anemia must receive injections of which medication for the rest of their lives?

a. Ferrous sulfate
b. 6-Mercaptopurine
c. Vitamin B12
d. DexFerrum (iron)

Question 2

The nurse helps the older adult to remove cerumen from the ears. Which of the following interventions should be included in this plan?

A) Gently irrigate the external auditory canal with warm water.
B) Push the cerumen out with cotton-tipped applicators.
C) Use a hairclip to clean out the ear.
D) Use forceful stream of solution.

ladyjames123 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
The standard treatment includes initiating vitamin B12 replacement therapy. Without vitamin B12 administration, these individuals will die in 1 to 3 years. Treatment is 1,000 units of vitamin B12 administered intramuscularly daily for weeks, then weekly for 1 month, and finally monthly for life.

Answer to Question 2

A
Feedback:
Cerumen removal can be aided by gentle irrigation of the external auditory canal with warm water or a hydrogen peroxide and water solution. Avoid the use of cotton-tipped applicators for cerumen removal, because they can push the cerumen back into the ear canal and cause an impaction. Hairpins or similar devices should never be used. A forceful stream of solution should not be used during this procedure because it can cause perforation of the eardrum.