An older client with a history of peptic ulcer disease is diagnosed with a vitamin B12 deficiency. What must the nurse teach the client?
1. Pay close attention when using hot water, handling hot surfaces, and while cooking.
2. Be alert to cognitive changes, memory impairment, and depression symptoms.
3. Blood work will need to be done in the doctor's office frequently to check for anemia.
4. Medications used to treat peptic ulcer disease can block the absorption of vitamins.
1. Pay close attention when using hot water, handling hot surfaces, and while cooking.
Explanation: 1. Paresthesias and neuropathies can result in burns if the client is not cautious while performing cooking-related tasks in particular. This is a safety issue.
2. This presentation may occur in the client with reduced B12; however, once the condition is identified and treatment has begun, the symptoms should not worsen.
3. The client will come in frequently for blood work testing anemia and B12-related values. This is not the most important thing to tell the client.
4. The use of gastric-acid-blocking agents may contribute to the development of vitamin B12 deficiency because they disrupt the acid environment needed to break down and release the vitamin B12 in ingested food. However, if the client needs this medication, this is not useful information and may cause poor effects.
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