HESI RN EXIT CASE STUDY - PERNICIOUS ANEMIA
1. pernicious anemia case study: John Baker is a 45-year-old Caucasian male who was
admitted to the medical-surgical unit 6 hours ago from the Emergency Department
due to nausea, vomiting, shortness of breath, pallor, weakness, and severe fatigue.
John is divorced with no children and has been practicing law for 15years. He also has
had a medical history of chronic gastric ulcers.
2. The nurse receives shift report and proceeds to Mr. Baker's room, bringingthe vital
sign measurement equipment. Which vital sign should concern the nurse the most
ANS: Blood pressure is 142/80 mmHg.
Rationale: This elevated blood pressure indicates an underlying issue that must
beaddressed.
3. The nurse asks Mr. Baker how he is feeling today. He reports that he does not have
time for this hospitalization.The nurse notes that he seems annoyed.He coughs as he
tries to sit up. He turns on the television, focuses on a newsstation, and ignores the
nurse.
1/8
,Which type of assessment should the nurse perform on Mr. Baker
2/8
, ANS: A focusedassessment.
Rationale: This assessment is for evaluating the status of specific previously identi-
fied problems and any symptoms of new problems developing
4. The nurse performs a focused assessment.Which systems should thenurse
evaluate? (Select all that apply.): Cardiovascular system.
Rationale: The client has hypertension and an elevated heart rate. Respiratory system.
Rationale: The client has a cough.
5. The nurse finds that Mr. Baker has a weak, irregular, and rapid pulse and histongue is
inflamed. The nurse decides to perform a neurological assessmentbecause of mild
tremoring. His unexpected neurological findings included hyperactive deep tendon
reflexes and mild burning and prickling sensationson his feet and hands. He also
appears to startle easily, and he has lost about15% of his weight as compared to his last
visit, which was four months ago.
During the assessment, the nurse suspects that the client may have perni- cious
anemia.Which pathophysiological process promotes this condition
ANS: -
3/8
1. pernicious anemia case study: John Baker is a 45-year-old Caucasian male who was
admitted to the medical-surgical unit 6 hours ago from the Emergency Department
due to nausea, vomiting, shortness of breath, pallor, weakness, and severe fatigue.
John is divorced with no children and has been practicing law for 15years. He also has
had a medical history of chronic gastric ulcers.
2. The nurse receives shift report and proceeds to Mr. Baker's room, bringingthe vital
sign measurement equipment. Which vital sign should concern the nurse the most
ANS: Blood pressure is 142/80 mmHg.
Rationale: This elevated blood pressure indicates an underlying issue that must
beaddressed.
3. The nurse asks Mr. Baker how he is feeling today. He reports that he does not have
time for this hospitalization.The nurse notes that he seems annoyed.He coughs as he
tries to sit up. He turns on the television, focuses on a newsstation, and ignores the
nurse.
1/8
,Which type of assessment should the nurse perform on Mr. Baker
2/8
, ANS: A focusedassessment.
Rationale: This assessment is for evaluating the status of specific previously identi-
fied problems and any symptoms of new problems developing
4. The nurse performs a focused assessment.Which systems should thenurse
evaluate? (Select all that apply.): Cardiovascular system.
Rationale: The client has hypertension and an elevated heart rate. Respiratory system.
Rationale: The client has a cough.
5. The nurse finds that Mr. Baker has a weak, irregular, and rapid pulse and histongue is
inflamed. The nurse decides to perform a neurological assessmentbecause of mild
tremoring. His unexpected neurological findings included hyperactive deep tendon
reflexes and mild burning and prickling sensationson his feet and hands. He also
appears to startle easily, and he has lost about15% of his weight as compared to his last
visit, which was four months ago.
During the assessment, the nurse suspects that the client may have perni- cious
anemia.Which pathophysiological process promotes this condition
ANS: -
3/8
