During assessment of a patient who is a vegan, the nurse observes for signs of nutritional deficiency. The most common nutritional deficiency related to a strict vegan diet would be manifested by

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Cobalamin (vitamin BB₁₂) cannot be obtained in foods of plant origin, so the patient will be most at risk for signs of cobalamin deficiency, such as anemia and peripheral neuropathy. The other symptoms listed are associated with other nutritional deficiencies but would not be associated with a vegan diet.

During Assessment of a Patient Who Is a Vegan, the Nurse