adult health

Question 1

Supplemental iron:

Answer 1

Teach client that iron
supplements should be taken between meals and
with vitamin C (orange juice). Do not take with milk
or antacids, which impair absorption. Black stools
and constipation are expected side effects.

Question 2

Pernicious anemia:

Answer 2

Teach clients who have
had gastric bypass surgery that lifelong 12 injections may be necessary.

Question 3

Iron deficiency:

Answer 3

Pica (craving non-food items
like clay or laundry detergent)

Question 4

B12 deficiency:

Answer 4

Neurologic symptoms
(numbness and tingling in hands and feet) and glossitis (smooth, beefy-red tongue)

Question 5

Aplastic anemia:

Answer 5

Petechiae and bleeding from
pancytopenia

Question 6

Hemolytic anemia:

Answer 6

Jaundice from RBC
breakdown

Question 7

Leukemia:

Answer 7

Clients with leukemia are at
increased risk for infection. Teach client to avoid raw foods, fresh flowers, crowds, and
sick contacts.

Question 8

Neutropenia:

Answer 8

For clients with neutropenia,
a low-grade fever (temperature increases of even of 1.0°F or 0.5°C) can indicate life-
threatening infection.

Question 9

Bleeding precautions:

Answer 9

When caring for clients with
thrombocytopenia, avoid invasive procedures like
IM injections and enemas. Teach clients to avoid
aspirin and forceful nose-blowing and to use a
soft-bristle toothbrush and electric razor.