Question

The nurse provides information to a client following a gastrectomy who is now diagnosed with pernicious anemia. Which instructions about pernicious anemia should the nurse reinforce? Select all that apply 1. Provide meticulous and frequent oral hygiene. 2. Use additional lightweight blankets as needed. 4. Check blood serum vitamin B12 levels every 1 to 2 years.

Answer 1

In cases of pernicious anemia, it is important to maintain meticulous oral hygiene and regularly monitor vitamin B12 levels. The use of additional blankets may not directly address the condition but it could add to the patient's comfort.

Step-by-step explanation:

In relation to the question, the nurse should emphasize the following information regarding pernicious anemia to the client: Firstly, good oral hygiene is crucial since mouth ulcers and gum infections are common in patients with pernicious anemia. So, meticulous and frequent oral hygiene is key. Secondly, checking blood serum vitamin B12 levels every 1 to 2 years is vital because pernicious anemia is caused by a deficient intake of vitamin B12. It's important to monitor levels of Vitamin B12. Lastly, blanket usage wouldn't have specific relevance to pernicious anemia, but it may be advised for comfort measures especially if the patient feels chilly due to weak conditions.

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