A client, diagnosed with a vitamin B-12 deficiency, tells the ...

[cookcarl]

A client, diagnosed with a vitamin B-12 deficiency, tells the nurse that she does not want to receive injections every month to treat the disorder.
 
  Which of the following should the nurse instruct the client regarding the effects of vitamin B-12 deficiency? (Select all that apply.)
  1. Paresthesias in the hands
  2. Paresthesias in the feet
  3. Ataxia
  4. Spinal cord degeneration
  5. Loss of memory
  6. Loss of the sense of smell

Question 2

The nurse is using a systematic approach to assessing a client's mole. Which of the following is included in this approach? (Select all that apply.)
 
  1. Asymmetry
  2. Border
  3. Color
  4. Containment
  5. Density
  6. Diameter

[matt95]

Answer to Question 1

1, 2, 3, 4
Vitamin B-12 deficiency produces neurological abnormalities such as symmetrical paresthesias in the hands and feet, diminished vibratory and proprioceptive sense, ataxia, and spinal cord degeneration. Vitamin B-12 deficiency does not produce memory loss or loss of smell.

Answer to Question 2

1, 2, 3, 6
Moles should be screened using the ABCD approach (asymmetry, border, color, and diameter). Containment and density is not a part of this assessment.

[cookcarl]

Excellent

[recede]

TYSM