Author Question: A nurse is caring for a patient who recently immigrated from a Third World country. The patient is ... (Read 33 times)

mikaylakyoung · **on:** Jul 23, 2018

A nurse is caring for a patient who recently immigrated from a Third World country. The patient is thin and appears malnourished. The nurse notes that the patient has loose and missing teeth, gingivitis, and bleeding gums.

The patient has multiple sores and ecchymoses. The nurse will expect the provider to order:
a. cyanocobalamin (vitamin B12).
b. high-dose nicotinic acid.
c. intramuscular thiamin for 1 to 2 weeks.
d. intravenous ascorbic acid.

Question 2

A patient will begin taking iron supplements to treat anemia. The nurse will recommend that the patient take the iron with which food to facilitate absorption?

a. Cereal
b. Dairy products
c. Orange juice
d. Red meats

djpooyouma · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
This patient has scurvy with acute, severe symptoms and needs intravenous vitamin C. The patient does not have signs of vitamin B12 deficiency, niacin deficiency, or thiamin deficiency.

Answer to Question 2

ANS: C
Orange juice is a good source of vitamin C, and vitamin C facilitates the absorption of iron. Cereals often are fortified with iron but do not facilitate its absorption. Calcium interferes with the absorption of iron. Red meats are a natural source of iron.