MS II Hematology
Title: Pernicious Anemia
Scenario: A 45-year-old woman has been diagnosed with pernicious anemia 2 years after having gastric bypass surgery. She has not followed her prescribed post-surgery diet and medication regimen for 3 months because she thought she “was better” and didn’t need them any longer. Assessment reveals a tongue that is tender, beefy red, and shiny. She reports feeling overall weakness, tingling in her feet, and having no appetite.
NGN Item Type: Extended Drag and Drop
Use an X to indicate which actions in the left column would be implemented for this patient by the nurse. Note that not all nursing actions will be used.
|Nursing Actions||Relevant Nursing Actions|
|Teach the patient about increasing intake of foods that contain cobalamin.|
|Assess the patient for neurologic difficulties.|
|Prepare to administer oral cobalamin.|
|Teach the patient and/or a family member how to self-inject intramuscular cobalamin.|
|Assist the patient with regular physical activities (such as ambulation and personal care) as needed.|
|Prepare to administer blood products.|
Rationales for your choices:
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