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    HESI RN Med surg adult health proctored exam

    A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse review?

    Explanation & Rationale

    Choice A reason: Platelet count is important for clotting but does not directly address the cause of fatigue in pernicious anemia.Choice B reason: Liver enzymes are important for liver function but are not related to pernicious anemia.Choice C reason:The correct answer is c) because a complete blood count (CBC) provides information about hemoglobin and hematocrit levels, which are directly impacted by pernicious anemia and can explain the fatigue.Choice D reason: Serum electrolytes are important but do not directly address the cause of fatigue in pernicious anemia.

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