NURS 110 A 45-year-old woman has been diagnosed with pernicious anemia 2 years after having gastric bypass surgery. – Assignment Solution
MS II Hematology Name: Title: Pernicious Anemia Scenario: A 45-year-old woman has been diagnosed with pernicious anemia 2 years after having gastric bypass surgery. She has not followed her prescribed post-surgery diet and medication regimen for 3 months because she thought she “was better” and didn’t need them any longer. Assessment reveals a tongue that is tender, beefy red, and shiny. She reports feeling overall weakness, tingling in her feet, and having no appetite. NGN Item Type: Extended Drag and Drop Use an X to indicate which actions in the left column would be implemented for this patient by the nurse. Note that not all nursing actions will be used.| Nursing Actions | Relevant Nursing Actions |
| Teach the patient about increasing intake of foods that contain cobalamin. | |
| Assess the patient for neurologic difficulties. | |
| Prepare to administer oral cobalamin. | |
| Teach the patient and/or a family member how to self-inject intramuscular cobalamin. | |
| Assist the patient with regular physical activities (such as ambulation and personal care) as needed. | |
| Prepare to administer blood products. |
