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NUR 347 Exam 3
1. Pernicious anemia
Answer
paresthesia, numbness/tingling, associated with B12 defi- ciency, administer nasal instead of
IM in thrombocytopenia (risk for bleeding)
2. B 12 (Cobalamin)
Answer
B12 gives us energy. Patients that need B12 replacement --> Pregnancy, celiac disease, crohn's
disease, GI disorders, gastric bypass (usually need B12 will get IM injections or nasally due to
malabsorption through GI tract)
3. Iron deficiency
Answer
Replace iron through PO, transfusions of packed RBC, nutrition (foods high in iron)-->beefy red
tongue
4. Foods high in iron
Answer
eggs, beans, wheat, spinach
5. Ferroussulfate
Answer
PO causes constipation, increase fluid and fiber intake, expect- ed side effect of oral ferrous
sulfate is tarry (black) stools --> Patient needs to be educated that this is a normal side effect
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