The nurse is caring for a client with Crohn's disease who has megaloblastic anemia. Which of the following medications should the nurse anticipate teaching the client about taking on an ongoing basis?
A)Oral ferrous sulphate tablets
B)Regular blood transfusions
C)Iron dextran (Imferon) infusion
D)Cobalamin (B12) nasal spray or injections

Question

Quizplus · Accepted Answer

Crohn's disease frequently affects the ileum, where absorption of cobalamin occurs, and it must be administered regularly by nasal spray or IM to correct the anemia. Iron deficiency does not cause megaloblastic anemia. The client may need occasional transfusions but not regularly scheduled transfusions.

The Nurse Is Caring for a Client with Crohn's Disease