A client is scheduled to have a segment of the terminal ileum removed secondary to cancer. The nurse anticipates this client is risk for:
1. Atelectasis.
2. Decubitus ulcers.
3. Pernicious anemia.
4. Sepsis.
Correct Answer: 3
Rationale 1: Atelectasis is not an expected outcome.
Rationale 2: Formation of decubitus ulcers is not an expected outcome.
Rationale 3: The terminal ileum is a primary site for the absorption of vitamin B12. The inability to absorb B12 will likely cause pernicious anemia.
Rationale 4: Sepsis is not an expected outcome.
Global Rationale: The terminal ileum is a primary site for the absorption of vitamin B12. The inability to absorb B12 will likely cause pernicious anemia. Atelectasis, decubitus ulcers, and sepsis are not associated with changes in the ileum.
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