Aila, a 35-year- old female patient, underwent a partial gastrectomy because of

Question

Aila, a 35-year- old female patient, underwent a partial gastrectomy because of a large gastric ulcer. She is seen by the physician today for follow-up. She is healing well but complains of significant tiredness and numbness of the fingers and that her tongue “looks different.” The physician suspects pernicious anemia and orders a complete blood cell count (CBC) and a vitamin B 12 serum level. Aila’s B 12 level is 88 pg/mL, and the CBC shows that she is anemic. Vitamin B 12 replacement is ordered. Provide both an answer and a rationale for you answer

1. What does the nurse suspect is the most likely cause of Aila’s pernicious anemia?

Answer:

Rationale:

2. What is the most likely route that will be used to administer Aila’s vitamin B 12 replacement?

Answer:

Rationale:

3. What patient teaching will the nurse provide regarding the adverse effects of vitamin B 12 replacement?

Answer:

Rationale:

Explanation / Answer

1. Answer : Partial gastrectomy

Rationale : Intrinsic factor is a protein produced by stomach which helps in absorption of vitamin B12

2. Answer : Through injection (intramuscular)

Rationale : Normal B12 range is 200 – 900 pg/mL but Aila’s B12 level is 88 pg/mL. So, to increase the B12 level, injection is preferred.

3. Answer : To report the doctor when side effects are adverse like nervousness, anxiousness, headache, swelling, itching and uncontrollable movements

Rationale : To change dosage levels and frequent monitoring is required

Related Questions

Navigate

• Browse (All)
• Browse A
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.