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The nurse is completing an assessment history of a client with pernicious anemia. Which complaint differentiates pernicious anemia from other types of anemia?

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Final answer:

Pernicious anemia, unlike other anemias, is often accompanied by gastrointestinal symptoms due to poor absorption of vitamin B12. It's associated with conditions like Crohn's disease and surgical removal of the intestines or stomach. Other forms of anemia have different causes and symptoms.

Step-by-step explanation:

The complaint that differentiates pernicious anemia from other types of anemia often relates to gastrointestinal symptoms. This is because pernicious anemia is caused by poor absorption of vitamin B12 in the gastrointestinal tract. Conditions often associated with pernicious anemia include Crohn's disease, intestinal parasites, and AIDS, as well as surgical removal of the intestines or stomach.

Other types of anemia, such as iron-deficiency anemia and megaloblastic anemia, may be differentiated by their unique causes and symptoms. For example, iron deficiency anemia is often caused by insufficient iron in the diet or the body's inability to absorb and transport iron, and is common among children, teens, vegans, and vegetarians. Megaloblastic anemia, on the other hand, is due to a deficiency of vitamin B12 and/or folate, often resulting from a diet deficient in these nutrients.

In summary, a detailed assessment of the patient's symptoms and history can aid in distinguishing pernicious anemia from other forms.

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