Question

The registered nurse is precepting a new nurse who is caring for a client with pernicious anemia as a result of a gastrectomy. Which statement made by the new nurse indicates understanding of this diagnosis?

Answer 1

Malabsorption of vitamin B12 in the stomach

Step-by-step explanation:

Aware of the fact that pernicious anaemia explains the insufficiency of Vitamin B12 which is associated with the action of the stomach absorption of these vitamins, the use of the terminology malabsorption by the new nurse reflects an understanding of the issues to the registered nurse.

Answer 2

The missing options are:

a. "It's due to insufficient production of vitamin B12 in the colon."

b. "Increased production of intrinsic factor in the stomach leads to this type of anemia."

c. "Overproduction of vitamin B12 in the large intestine can result in pernicious anemia."

d. "Decreased production of intrinsic factor by the stomach affects the absorption of vitamin B12 in the small intestine."

The correct answer is d. "Decreased production of intrinsic factor by the stomach affects the absorption of vitamin B12 in the small intestine."

Step-by-step explanation:

Intrinsic factor is a protein that is produced by cells in the stomach, this protein is essential for the absorption of vitamin B12 in the small intestine. Without intrinsic factor, the absorption of vitamin B12 would be really low, causing pernicious anemia since vitamin B12 is necessary for the production of healthy red blood cells. If there is not a good production of healthy red blood cells that can distribute O₂ and CO₂, the body suffers from pernicious anemia.