MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A nurse is caring for a client admitted with pernicious anemia. Which set of findings should the nurse expect when assessing the client?
A
Pallor, tachycardia, and a sore tongue
B
Pallor, bradycardia, and reduced pulse pressure
C
Angina pectoris, double vision, and anorexia
D
Sore tongue, dyspnea, and weight gain
Explanation: 

Detailed explanation-1: -The clinician should conduct a complete physical exam with an emphasis on hematological, gastrointestinal, and neurological findings that are associated with this disease. Patients with PA can have symptoms due to anemia, atrophic gastritis, and/or nerve damage to the spinal cord.

Detailed explanation-2: -Typically, patients with pernicious anemia are described as having a stereotypic appearance: they have a lemon-yellow waxy pallor with premature whitening of the hair, and they appear flabby, with a bulky frame that is generally incongruent with the severe anemia and weakness.

Detailed explanation-3: -Nursing Interventions for Pernicious Anemia Educate about importance of eating enough foods with iron, vitamin C, and folic acid because these nutrients play a role in red blood cell production as well.

Detailed explanation-4: -Diarrhea or constipation. Nausea. Vomiting. Fatigue, lack of energy, or lightheadedness when standing up or with exertion. Loss of appetite. Pale skin (mild jaundice) Shortness of breath, mostly during exercise. Heartburn. More items

There is 1 question to complete.