A child is prescribed monthly injections of vitamin B12 . When ...

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A child is prescribed monthly injections of vitamin B12 . When developing the teaching plan for the family, the nurse would focus on which type of anemia?
 
  A) Aplastic anemia
  B) Pernicious anemia
  C) Folic acid anemia
  D) Sickle cell anemia

Question 2

The mother of a 5-year-old girl brings the child to the clinic for an evaluation. The mother tells the nurse, She seems to be so tired and irritable lately. And she looks so pale.
 
  Further assessment reveals pale conjunctiva and oral mucous membranes. The nurse suspects iron-deficiency anemia. Which additional finding would help provide additional evidence for this suspicion? A) Spooned nails
  B) Negative splenomegaly
  C) Oxygen saturation: 99
  D) Bradycardia

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Answer to Question 1

B
Feedback:
Monthly injections of vitamin B12 are used to treat pernicious anemia. Aplastic anemia is characterized by a decrease in all blood cells necessitating a bone marrow transplant. Folic acid deficiency anemia is treated with dietary measures and possible folic acid supplementation. Sickle cell anemia is treated supportively with a focus on preventing sickling crisis, infection, and other complications.

Answer to Question 2

A
Feedback:
Spooning or concave shape of the nails suggests iron-deficiency anemia. Other findings would include decreased oxygen saturation levels, tachycardia, and possible splenomegaly.

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