A client lost 35 pounds over the past 3 months on a very low-carbohydrate diet. What physical sign should suggest to the nurse that this client is experiencing a vitamin deficiency?

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Reddened, bleeding gums are a precursor to scurvy, a deficiency of vitamin C which is found in fresh fruits and vegetables. An individual who is on a very low-carbohydrate diet will refrain from eating fruits and vegetables and would need a vitamin supplement. If a supplement is not used, a vitamin C deficiency might develop. Skin lesions, or dermatitis, are a potential sign of vitamin B-6 deficiency. A shiny, swollen tongue, or glossitis, is associated with a riboflavin (B-2) deficiency. Balance problems, or ataxia, result from a thiamine (B-1) deficiency. The B vitamins are readily available in high-protein foods which are consumed on a very low-carbohydrate diet.

A Client Lost 35 Pounds Over the Past 3 Months