B12 & Sickle Cell Nursing Review

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Med-surg questions to reinforce B12 deficiency and SCD concepts.

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danielle

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B12 & Sickle Cell Nursing Review


B12 & Sickle Cell Nursing ReviewVersión en línea Med-surg questions to reinforce B12 deficiency and SCD concepts. por danielle 1 Which finding best confirms Vitamin B12 deficiency? a Low serum B12 level b Low MCV c Decreased RBC distribution width d Increased intrinsic factor 2 In B12 deficiency with numbness, what is the PRIORITY assessment? a Visual testing b Continuous temperature monitoring c Cardiac telemetry d Respiratory auscultation 3 Which meal suggests vegan B12 deficiency? a Oatmeal with fortified cereal b Almond milk smoothie c Scrambled tofu with spinach d Greek yogurt parfait 4 Post-gastric bypass, long-term issue likely? a Increased hemoglobin b Inability to absorb Vitamin B12 c Elevated RBC lifespan d Excess intrinsic factor 5 Pernicious anemia management understanding? a I only need supplements when tired b I will need lifelong B12 injections. c I can stop injections if intrinsic factor improves d I can reverse with diet alone 6 B12 deficiency with mood swings due to? a Rapid RBC production b Myelin degeneration c Increased hemoglobin d Electrolyte imbalance 7 Highest risk for B12 deficiency among options? a 55-year-old on metformin b 30-year-old who eats eggs daily c 18-year-old with asthma d 25-year-old pregnant 8 Priority intervention for B12-related neuropathy? a Restrict fluid intake b Encourage weight loss c Stop B12 administration d Provide fall precautions 9 Infant with swollen hands/feet: correct explanation? a Vaso-occlusion from sickled cells b Iron absorption impaired c Normal infant growth d Viral hand-foot syndrome 10 PRIORITY in sickle cell chest symptoms? a Administer NSAIDs b Assess oxygen saturation c Prepare for discharge d Place in Trendelenburg 11 Trigger indicating understanding in vaso-occlusive crisis? a Hydrate only hot months b Avoid cold weather c Run daily to strengthen lungs d Altitude is safe 12 Immediate action in a sickle cell patient? a Fatigue b Unrelieved severe pain c Vision changes d Swelling of hands 13 Statement needing correction in education? a Stay indoors in extreme cold b I should avoid all physical activity. c I need to drink plenty of fluids d Avoid high altitudes 14 First action in sickle cell crisis care? a Restrict fluid intake b Apply cold packs c Give oxygen d Increase dietary protein 15 Most important pre-op for sickle cell surgery? a Withholding hydration b Prolonged fasting c Limiting analgesics d Ensuring adequate oxygenation 16 Vision changes in a child with SCD require? a Increase physical activity b Recommend warm compresses c Reassure parent it's temporary d Notify provider immediately 17 Pregnant SCD patient risk? a Hypertension b Decreased miscarriage risk c Decreased clotting d Prolonged gestation 18 Lab value reflecting SCD disease process? a Elevated folate b Serum B12 decreased c RBC lifespan 120 days d RBC lifespan of 10-20 days 19 Prevent sickle cell crisis instruction? a Take cold showers to improve circulation b Avoid vaccines due to stress c Decrease rest periods d Drink plenty of water daily. 20 Chronic SCD status improvement indicator? a New-onset fever b Pain score 9/10 c New swelling in feet d SpO2 95% on room air Feedback 1 Low B12 confirms deficiency; MCV is often high and intrinsic factor is low in pernicious anemia. 2 Vision changes can indicate neuropathy; early detection prevents falls. 3 Greek yogurt contains dairy (animal product); vegans avoid dairy. 4 Bypass can reduce intrinsic factor production, impairing B12 absorption. 5 Lack of intrinsic factor requires ongoing injections for B12. 6 B12 deficiency damages myelin causing neurologic/behavioral symptoms. 7 Metformin impairs B12 absorption. 8 Neuropathy/ataxia increases fall risk; safety precautions are essential. 9 Dactylitis from vaso-occlusion is common in infants with SCD. 10 Acute chest syndrome requires prompt oxygen assessment. 11 Cold can trigger crises; avoid extreme conditions. 12 Severe pain indicates vaso-occlusive crisis needing rapid relief. 13 Moderate activity is okay; avoid excessive exertion rather than all activity. 14 Oxygen helps prevent hypoxia which worsens sickling. 15 Oxygenation prevents perioperative sickling. 16 Retinal ischemia due to sickling needs urgent evaluation. 17 SCD increases pregnancy-related hypertension and complications. 18 Sickle cells have shortened lifespan, ~10-20 days. 19 Hydration lowers blood viscosity and crisis frequency. 20 Maintained oxygenation indicates better status; fever/ischemia worsen condition.

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B12 & Sickle Cell Nursing Review

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B12 & Sickle Cell Nursing ReviewVersión en línea

por danielle

Which finding best confirms Vitamin B12 deficiency?

In B12 deficiency with numbness, what is the PRIORITY assessment?

Which meal suggests vegan B12 deficiency?

Post-gastric bypass, long-term issue likely?

Pernicious anemia management understanding?

B12 deficiency with mood swings due to?

Highest risk for B12 deficiency among options?

Priority intervention for B12-related neuropathy?

Infant with swollen hands/feet: correct explanation?

PRIORITY in sickle cell chest symptoms?

Trigger indicating understanding in vaso-occlusive crisis?

Immediate action in a sickle cell patient?

Statement needing correction in education?

First action in sickle cell crisis care?

Most important pre-op for sickle cell surgery?

Vision changes in a child with SCD require?

Pregnant SCD patient risk?

Lab value reflecting SCD disease process?

Prevent sickle cell crisis instruction?

Chronic SCD status improvement indicator?

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