A patient with a history of long-term vitamin B12 deficiency is admitted to the unit. What clinical manifestations would the nurse anticipate with this disease process? (Select all that apply.)
a. GI disturbances
b. Impaired production of WBCs
c. Impaired production of platelets
d. Neurologic damage
e. Hyponatremia
f. Hypokalemia
ANS: A, B, C, D
The most significant consequences of vitamin B12 deficiency are anemia and injury to the nervous system. Additional effects include GI disturbances and impaired production of white blood cells and platelets.
Hyponatremia and hypokalemia are not manifestations of vitamin B12 deficiency.
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