The nurse is caring for a patient who has celiac disease with malabsorption. The nurse should monitor for which sign of possible vitamin deficiency?
a. Bleeding
b. Sore tongue
c. Hypercalcemia
d. Hypokalemia
A
Natural forms of vitamin K require bile salts for their uptake. Any condition that reduces the availability of these salts, such as sprue and celiac disease, can reduce vitamin K uptake, leading to a diminished clotting ability and thus bleeding. Deficiencies in celiac disease are associated with the fat-soluble vitamins.
Sore tongue is associated with a lack of B vitamins.
Calcium loss, not calcium excess, would be a problem in this patient.
Hypokalemia does not occur with celiac disease.
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