The client has presented with complaints of mouth soreness. A review of the client's medical health history reveals gastric bypass surgery one year ago. During the assessment, the nurse notes the client's tongue is beefy, red, and smooth
Based upon your knowledge, what do you anticipate will be included in the diagnostic workup ordered for the client? 1. Vitamin B12 levels
2. Iron levels
3. Vitamin B6 levels
4. Potassium levels
1. Vitamin B12 levels
Rationale:
Vitamin B12 deficiency is associated with gastric bypass surgery. A deficiency of vitamin B12 levels will result in pernicious anemia. This deficiency will manifest as pallor, jaundice, and weakness, and a beefy, smooth red tongue. Iron-deficiency anemia will manifest with weakness and fatigue. Vitamin B6 deficiencies are not typically seen with gastric bypass surgeries and are not manifested with a beefy, red, smooth tongue. The client's reports are not consistent with a potassium deficiency.
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