Surgery > QUESTIONS & ANSWERS > MED SURG EXAM 3 GI/NEURO QUESTIONS WITH CORRECT ANSWERS |2022 (All)
Pernicious anemia correct answer decreased absorption of b12 Lack of intrinsic factor (if) causes lack of b12: released by cells in the intestine ↓rbc production: the body needs if to help make RB... C Lack of intrinsic factor decreases the absorption of b12 decrease in rbc Nervous system sx: numbness, tingling in their hands and feet, muscle weakness, difficult walking d/t weakness, irritability Causes of pernicious anemia correct answer genetic, crohns, ulcerative cholitis, lack of dietary intake Foods high in b12 correct answer animal sources [poultry, red meat], shell fish, eggs, and dairy products Pernicious anemia ssa correct answer pallor- decreased rbc Glossitis- swollen tongue Fatigue Parenthesis- tingling of hands and feet ↓ h & h Beefy red tongue loss of appetite Pernicious anemia interventions correct answer educate client about need for lifetime b12 (intramuscular) replacement Monitor h & h Oral b12 doesn't work well because you don't get full absorption. Injections work better- lifelong treatment B12 injections increase metabolism= used for weight loss Cholecystitis correct answer inflammation of the gallbladder wall [ruq pain] Usually caused by gallstones (cholelithiasis) that block the cystic and/or common bile duct Acute or chronic Can block the pancreatic duct Block drainage from liver too & pancreatic duct too Trigger factors of cholecystitis correct answer trauma Surgery Coronary events [Show More]
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