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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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colleen colleen
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11 years ago
A patient who had stomach cancer surgery two years ago comes into the clinic fearful that the “cancer is back because I’m so tired all of the time.”.” The nurse realizes that this patient is likely experiencing which of the following?
1. vitamin deficiency
2. a return of the stomach cancer
3. metastasis
4. ineffective coping
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11 years ago
1 - The cells of the stomach produce intrinsic factor, which are required for the absorption of vitamin B12. Vitamin B12 deficiency leads to pernicious anemia. Because of hepatic stores of vitamin B12, symptoms of anemia may not be seen for one to two years after surgery. There are no clinical manifestations presented to support the reoccurrence or metastasis of the cancer. The patient is seeking clarification of their condition not demonstrating an inability to cope.
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