1. The nurse cares for the client diagnosed with pernicious anemia. The client asks, “What is the health care provider going to do about my condition?” Which treatment does the nurse expect?

A. Oral administration of vitamin B12 supplement daily

B. Oral administration of ferrous gluconate 325 mg 3 times a day

C. Oral administration of 1 mg folic acid daily

D. Parental administration of vitamin B12 once a month

2. A client is admitted to the hospital with a temperature of 101 F (38.3 C) and a WBC count of 3000/mm3. The nurse should institute which precaution?

A. Contact precautions

B. Airborne precautions

C. Droplet precautions

D. Neutropenic precautions

3. The nurse assesses the dietary education provided to the client diagnosed with pernicious anemia. The client’s selection of which food indicates to the nurse that the teaching is effective?

A. Cheese

B. Popcorn

C. Spinach

D. Red meat

4. The nurse cares for the client diagnosed with pernicious anemia. The client asks the nurse, “What is the purpose of this 24 hour urine test?” Which explanation by the nurse is best?

A. “The purpose of the 24 hour urine test is to assess fluid retention”

B. “The purpose of the 24 hour urine test is to assess absorption and subsequent excretion of vitamin B12 in the urine.”