A patient who had stomach cancer surgery 2 years ago comes to the clinic fearful that "the cancer must be back because I'm so tired all the time." The nurse realizes that this patient is likely experiencing which health problem?
1. vitamin deficiency
2. a return of the stomach cancer
3. metastasis
4. ineffective coping
Correct Answer: 1
The cells of the stomach produce intrinsic factor, which is required for the absorption of vitamin B12. Vitamin B12 deficiency leads to pernicious anemia. Because of hepatic stores of vitamin B12, symptoms of anemia may not be seen for 1 to 2 years after surgery. There are no clinical manifestations presented to support the recurrence or metastasis of the cancer. The patient is seeking clarification of the condition, not demonstrating an inability to cope.
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