Which of these statements about clients who have pernicious anemia is TRUE?
a. They must avoid fish and whole grains.
b. They must be monitored closely for symptoms of gastric carcinoma.
c. They must increase vitamin C intake.
d. They must receive intramuscular injections of iron dextran.
B
Pernicious anemia, an autoimmune disease in which the stomach is unable to secrete a sufficient amount of intrinsic factor essential for absorption of vitamin B12, develops slowly; manifestations include weakness, sore tongue, varied neurological disturbances, memory loss, jaundice, and irritability. Medical management includes intramuscular administration of cyanocobalamin over the client's lifetime, folic acid taken orally, and close monitoring for symptoms of gastric carcinoma.
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