A client complaining of mouth soreness had gastric bypass surgery 1 year ago.During the assessment,the nurse notes the client's tongue is beefy,red,and smooth and the client's skin appears yellowish.Which additional information is most likely needed before diagnosing this client? A) Vitamin B₆ levels B) Vitamin B₁₂ levels C) Potassium levels D) Iron levels

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A) Vitamin B₁₂ deficiency is associated with gastric bypass surgery. A deficiency of vitamin B₁₂ levels will result in pernicious anemia. This deficiency will manifest as pallor, jaundice, and weakness, and a beefy, smooth red tongue. Iron deficiency anemia will manifest with weakness and fatigue. Vitamin B₆ deficiencies are not typically seen with gastric bypass surgeries and are not manifested with a beefy, red, smooth tongue. The client's reports are not consistent with a potassium deficiency. B) Vitamin B₁₂ deficiency is associated with gastric bypass surgery. A deficiency of vitamin B₁₂ levels will result in pernicious anemia. This deficiency will manifest as pallor, jaundice, and weakness, and a beefy, smooth red tongue. Iron deficiency anemia will manifest with weakness and fatigue. Vitamin B₆ deficiencies are not typically seen with gastric bypass surgeries and are not manifested with a beefy, red, smooth tongue. The client's reports are not consistent with a potassium deficiency. C) Vitamin B₁₂ deficiency is associated with gastric bypass surgery. A deficiency of vitamin B₁₂ levels will result in pernicious anemia. This deficiency will manifest as pallor, jaundice, and weakness, and a beefy, smooth red tongue. Iron deficiency anemia will manifest with weakness and fatigue. Vitamin B₆ deficiencies are not typically seen with gastric bypass surgeries and are not manifested with a beefy, red, smooth tongue. The client's reports are not consistent with a potassium deficiency. D) Vitamin B₁₂ deficiency is associated with gastric bypass surgery. A deficiency of vitamin B₁₂ levels will result in pernicious anemia. This deficiency will manifest as pallor, jaundice, and weakness, and a beefy, smooth red tongue. Iron deficiency anemia will manifest with weakness and fatigue. Vitamin B₆ deficiencies are not typically seen with gastric bypass surgeries and are not manifested with a beefy, red, smooth tongue. The client's reports are not consistent with a potassium deficiency.

A Client Complaining of Mouth Soreness Had Gastric Bypass Surgery