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Exam NCLEX-RN topic 5 question 2 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 2
Topic #: 5
[All NCLEX-RN Questions]

A female client was recently diagnosed with gastric cancer. She entered the hospital and had a total gastrectomy with esophagojejunostomy. Her postoperative recovery was uneventful. On conducting discharge teaching, the nurse discusses changes in bodily function and lifestyle changes with the client. In order to prevent pernicious anemia, the nurse stresses that the client must:

  • A. Receive monthly blood transfusions
  • B. Increase the amount of iron in her diet
  • C. Eat small quantities several times daily until she is able to tolerate food in moderate portions
  • D. Understand the need for Vitamin B12 replacement therapy
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Suggested Answer: D 🗳️
(A) Monthly blood transfusions are not indicated postgastrectomy. (B) Increasing iron in the clients diet may cause irritation and will not alleviate pernicious anemia. (C) It may be necessary that the client eat small meals several times per day, but this measure has no relevance to prevention of pernicious anemia. (D)
Pernicious anemia is caused by lack of Vitamin B12, and replacement therapy will be necessary because the clients stomach has been removed.
by [deleted] at March 10, 2025, 6:58 a.m.

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