Following gastrectomy, the nurse must observe for signs of pernicious anemia because:
  1. The extrinsic factor is produced in the stomach
  2. The extrinsic factor is absorbed in the antral portion of the stomach
  3. The intrinsic factor is produced in the stomach
  4. Decreased hydrochloride acid production inhibits vitamin B12 reabsorption
Explanation
Answer - C - Pernicious anemia may occur following subtotal gastrectomy (when large portions of the stomach are removed) due to the loss of tissue that produces the intrinsic factor.
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