The nurse is caring for a patient who has had a portion of stomach removed. For which of the following findings would the nurse monitor to detect a vitamin B12 deficiency?
a. Numbness and tingling, weakness, and glossitis
b. Fever, malaise, muscle soreness, and diarrhea
c. Urticaria, angioedema, anorexia, pruritus, and blistered lesions
d. Frequent infections, fever, malaise, vertigo, and lymphadenopathy
ANS: A
Non-immune-related causes of pernicious anemia include any type of gastric or small bowel resections coupled with no or inadequate vitamin B12 or intrinsic factor replacement. Vitamin B12 deficiency symptoms include numbness and tingling, weakness, and glossitis.
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