A 62-year-old female patient is started on vitamin B12 for ...

[faduma]

A 62-year-old female patient is started on vitamin B12 for pernicious anemia. When the nurse develops the plan of care, what expected outcome will the nurse include?
 
  A) Decreased bleeding
  B) Increased hemoglobin
  C) Decreased joint pain
  D) Less fatigue

Question 2

The nurse is caring for a patient who has begun vomiting after undergoing bariatric surgery.
 
  When including this complication in the plan of care, what would be an appropriate nursing diagnosis related to the adverse effects of drowsiness and weakness associated with an antiemetic? A) Acute pain related to central nervous system (CNS), skin, and gastrointestinal (GI) effects
  B) Risk for injury related to CNS effects
  C) Decreased cardiac output related to cardiac effects
  D) Deficient knowledge regarding drug therapy

[scottmt]

Answer to Question 1

B
Feedback:
Vitamin B12 is essential for normal functioning of red blood cells (RBCs) so the drug would be evaluated as successful in treating the disorder if the patient's hemoglobin and RBC count increased after administration. Expected outcomes do not include decreased bleeding, decreased joint pain, or less fatigue.

Answer to Question 2

B
Feedback:
Because the patient is experiencing CNS effects, the nurse will be concerned about the patient's safety. The appropriate nursing diagnosis would be risk for injury related to CNS effect. Acute pain related to CNS, skin, and GI effects; decreased cardiac output related to cardiac effects; and deficient knowledge regarding drug therapy would not be appropriate because no evidence is provided in the question to support any of these diagnoses.

[faduma]

TY

[scottmt]

You're welcome