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    Ati med surg quiz hematology proctored exam

    The nurse assesses a client's oral cavity as seen in the photo below: What action by the nurse is most appropriate?

    Explanation & Rationale

    A. Genetic testing is not the first-line intervention for oral manifestations of cobalamin (vitamin B12) deficiency. The priority is correcting the deficiency. B. While a high-fiber diet supports general digestive health, it does not address the oral or systemic effects of vitamin B12 deficiency, such as glossitis, pallor, or neuropathy. C. Protective precautions are used for clients at risk of infection due to immunocompromised states, not for vitamin B12 deficiency. D. The oral manifestations, such as smooth, red tongue or sores, indicate vitamin B12 deficiency, which requires cobalamin therapy. Teaching about administration routes (oral, sublingual, or IM) and adherence is the priority to correct the deficiency and prevent complications like pernicious anemia or neurological damage.

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