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Pernicious Anemia

Pernicious Anemia

Pernicious Anemia

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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