Author Question: The nurse caring for a client with vitamin B12 deficiency secondary to impaired B12 absorption ... (Read 35 times)

roselinechinyere27m · **on:** Jul 24, 2018

The nurse caring for a client with vitamin B12 deficiency secondary to impaired B12 absorption anticipates the client will receive:

a. intramuscular cyanocobalamin.
b. oral vitamin B12.
c. intravenous sodium ferric gluconate complex.
d. intravenous epoetin alfa recombinant.

Question 2

The nurse is caring for a client with a toxic level of iron. The nurse anticipates administering:

a. intravenous normal saline.
b. deferoxsamine mesylate.
c. sodium ferric gluconate in sucrose injection.
d. epoetin alfa recombinant.

heyhey123 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: A

Feedback
A Correct: This is treated with a loading dose of 1000 mcg followed by 1000 mcg IM for four consecutive days.
B Incorrect: If the deficiency is caused by a malabsorption condition, oral replacement is of little value.
C Incorrect: This is parenteral iron, which will not treat vitamin B12 deficiency.
D Incorrect: This treats chemotherapy-induced anemia and will not treat vitamin B12 deficiency.

Answer to Question 2

ANS: B

Feedback
A Incorrect: Normal saline IV will not treat iron toxicity.
B Correct: Deferoxsamine mesylate is a chelating agent used to treat iron toxicity.
C Incorrect: This is an iron product, which would make the iron toxicity worse.
D Incorrect: This is an agent used to treat anemia associated with chemotherapy.