Which individual should the nurse assess initially for a vitamin B12 deficiency anemia?
a. A 3-year-old female who is a fussy eater
b. A 26-year-old female in the second tri-mester of her first pregnancy
c. A 47-year-old male who had a gastrecto-my procedure
d. A 64-year-old male with a history of du-odenal ulcers
ANS: C
With removal of the stomach, the intrinsic factor is also removed, leading to an inability to absorb B12; thus, the person with removal of the stomach is at greatest risk. Being a fussy eater, being pregnant, and having a history of duodenal ulcers are not risk factors for vitamin B12 deficiency anemia.
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