What should a nurse know about pernicious anemia?
In addition, the nurse needs to be aware of the causes, risk factors, and management of pernicious anemia. The NCLEX exam loves to ask questions about patient education and major signs and symptoms about pernicious anemia.
Which vitamin is prescribed to the client with pernicious anemia?
Gravity Created by rosaitzel7 Pharm questions Terms in this set (17) The client with pernicious anemia is prescribed cyanocobalamin (vitamin B12). Which client statement demonstrates an understanding of this treatment? monthly injections The nurse is teaching a client who is taking a loop diuretic about foods that are high in potassium.
How do you test for pernicious anemia?
A doctor suspects pernicious anemia in a patient presenting with a beefy red tongue. The patient reports feeling extremely fatigued and numbness and tingling in the hands. The doctor orders a peripheral blood smear. From your nursing knowledge, how will the red blood cells appear in the peripheral blood smear if pernicious anemia is present?
Which lab values would be consistent with aplastic anemia?
The nurse is reviewing the laboratory values of a client with aplastic anemia. Which diagnostic findings would be consistent with this diagnosis? 1. A decreased production of T-helper cells 2. A decreased level of white blood cells, red blood cells, and platelets 3. An increased levels of white blood cells, red blood cells, and platelets 4.
What is the recommended treatment for pernicious anemia?
Pernicious anemia usually is easy to treat with vitamin B12 shots or pills. If you have severe pernicious anemia, your doctor may recommend shots first. Shots usually are given in a muscle every day or every week until the level of vitamin B12 in your blood increases.
When a patient has pernicious anemia the nurse should expect to give them?
Patients generally receive an intramuscular injection of 1000 mcg B12 every day or every other day during the first week of treatment. The next month, they receive injections every week, subsequently followed by monthly injections. The alternative to intramuscular injection B12 is high-dose oral B12.
What is the most characteristic manifestation of pernicious anemia?
Most people with the disorder have abnormally low red blood cell counts (anemia). Symptoms may include an abnormally enlarged spleen or liver, lack of appetite, intermittent constipation and diarrhea, and/or abdominal pain.
What is the most common treatment for a resident with pernicious anemia?
Treatment options Doctors treat pernicious anemia with vitamin B-12 replacement therapy, which they give via vitamin B-12 shots. A doctor will inject a vitamin B-12 shot into a person's muscles. Injections are given on a daily or weekly basis until vitamin B-12 levels return to normal.
What happens pernicious anemia?
Pernicious anemia is a decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12.
What happens when you have pernicious anemia?
In an autoimmune disease such as pernicious anemia, the body's immune system stops distinguishing between diseased and healthy tissue. In this case, autoantibodies destroy the stomachs cells that make intrinsic factor and impede its function.
How do you diagnose pernicious anemia?
How is pernicious anemia diagnosed?Vitamin B12 level.Complete blood count (CBC): This blood test determines the type of anemia you have and the degree of your anemia.Reticulocyte count: This test indicates if your bone marrow can make new red blood cells.More items...•
Which of the following will be elevated in a patient with pernicious anemia?
Many patients with pernicious anemia will have elevated serum homocysteine and methylmalonic acid levels.
What lab values will be normal in a patient with pernicious anemia?
Serum Cobalamin Values of 180-250 pg/mL are considered bordeline, while less than 150 pg/mL is considered diagnostic of vitamin B12 deficiency. The serum cobalamin level is usually low in patients with pernicious anemia.
What is the nursing management of pernicious anemia?
Nursing Interventions for Pernicious Anemia Educate about importance of eating enough foods with iron, vitamin C, and folic acid because these nutrients play a role in red blood cell production as well. Maintain good oral hygiene due to changes to tongue.
Do people with pernicious anemia need blood transfusions?
Your doctor can treat this problem with vitamin B12 shots. You may also take vitamin B12 by pill or nasal spray. With treatment, most anemia gets better in a few days. But if you have severe anemia, you may need a blood transfusion to give you red blood cells as quickly as possible.
What is the difference between sickle cell anemia and polycythemia?
Polycythemia is an abnormal increase in red blood cells, Sickle cell anemia results from defective hemoglobin with a sickle presence and pernicious anemia is the inability to absorb B12 from lack of intrinsic factor. A nurse is reviewing the laboratory results of a client with anemia.
What percentage of the body surface is the perineum?
The head, neck, and arms are each 9% of the total body surface, and the perineum is 1%. In this case, the client received burns to his back and one arm, which totals 27% of his body.
What is the greatest need for burn care?
Answer: 1. In early burn care, the client's greatest need is fluid resuscitation, as a large-volume of fluid is lost through the skin. Body image, pain, and infection are important concerns in the nursing care of a burn client, but they do not take precedence over fluid management in the early phase of care.
What are the criteria for AIDS diagnosis?
A person must be HIV-positive, have a CD4+ T-cell count below 200 cells/μl, and have an opportunistic infection such as tuberculosis, candidiasis, and cytomegalovirus.
Does chronic renal failure cause anemia?
Answer: 2. Chronic renal failure will decrease the production of erythropoietin (EPO) which is needed for the production of red blood cells (RBC), thus resulting in anemia. A client with COPD will have polycythemia as hypoxia causes increased RBC production as a compensatory mechanism.
Does T helper cell production decrease in aplastic anemia?
T-helper cell production doesn't decrease in aplastic anemia. Reed-Sternberg cells and lymph node enlargement occur with Hodgkin's disease.