A client with a diagnosis of atrophic gastritis and consequent pernicious anemia is^{receiving high oral doses of vitamin B}12^{. Which of the following changes would be most} likely expected by his care provider at the completion of his treatment? A) Decreased mean corpuscular volume B) Increased serum bilirubin C) Increased folic acid levels D) Decreased free heme levels

Question

Quizplus · Accepted Answer

^{Increased red cell size is associated with vitamin B}12 ^{deficiency, and MCV would}decrease with treatment. Increased bilirubin and folic acid levels would not be associated with resolution of pernicious anemia, and heme is not normally present or measured in a free circulatory form.

A Client with a Diagnosis of Atrophic Gastritis and Consequent