A client who had gastric bypass six months ago is profoundly anemic. The client has memory loss and periodic hallucinations. A diagnosis of folate deficiency has been proposed. Why would the nurse question this provisional diagnosis?
1. Iron-deficiency anemia is the anemia that occurs among gastric resection clients.
2. Folic acid absorption is usually enhanced during a rapid weight loss.
3. Folate-deficiency anemia does not produce neurological symptoms.
4. Folic acid deficiency has only a minimal impact on red blood cell counts.
Correct Answer: 3
Rationale 1: Iron-deficiency anemia is not the only anemia that occurs among gastric resection clients.
Rationale 2: Folic acid absorption is not enhanced by weight loss.
Rationale 3: Neurological symptoms accompany pernicious anemia, but not folate-deficiency anemia.
Rationale 4: Folic acid deficiency has a major impact on normal red blood cell formation.
Global Rationale: Neurological symptoms accompany pernicious anemia, but not folate-deficiency anemia. Iron-deficiency anemia is not the only anemia that occurs among gastric resection clients. Folic acid absorption is not enhanced by weight loss. Folic acid deficiency has a major impact on normal red blood cell formation.
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