Author Question: Which of these statements about clients who have pernicious anemia is TRUE? a. They must avoid ... (Read 9 times)

jazziefee · **on:** Jul 22, 2018

Which of these statements about clients who have pernicious anemia is TRUE?

a. They must avoid fish and whole grains.
b. They must be monitored closely for symptoms of gastric carcinoma.
c. They must increase vitamin C intake.
d. They must receive intramuscular injections of iron dextran.

Question 2

When educating a client who has human immunodeficiency virus (HIV), the nurse should include the information that it is possible to remain asymptomatic for:

a. up to 2 years c. up to 10 years
b. up to 5 years d. 10 or more years

Harbringer · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Pernicious anemia, an autoimmune disease in which the stomach is unable to secrete a sufficient amount of intrinsic factor essential for absorption of vitamin B12, develops slowly; manifestations include weakness, sore tongue, varied neurological disturbances, memory loss, jaundice, and irritability. Medical management includes intramuscular administration of cyanocobalamin over the client's lifetime, folic acid taken orally, and close monitoring for symptoms of gastric carcinoma.

Answer to Question 2

D
While most people remain symptom-free for 10 or more years, others develop symptoms within months; these symptoms include enlarged lymph nodes, weight loss, fever and sweats, lack of energy, persistent skin rashes or flaky skin, frequent oral or vaginal yeast infections, and herpes infection.