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NEW QUESTION: 1
Elderly persons with pernicious anemia should be instructed:
A. that diarrhea can be a transient side effect of B12 injections.
B. that oral B12 is safer and less expensive than parenteral replacement.
C. that they do not need to return for follow-up for at least a month after initiation of treatment.
D. to increase their dietary intake of foods high in B12.
Answer: A
Explanation:
Explanation/Reference:
Explanation:
Pernicious anemia is a megaloblastic, macrocytic, normochronic anemia caused by a deficiency of the intrinsic factor produced by the stomach. This results in malabsorption of vitamin B12, which is necessary for DNA synthesis and maturation of RBC. Education should include side effects of Vitamin B12, which can include pain and burning at the injection site, peripheral vascular thrombosis, and transient diarrhea.
Physiological Adaptation