Reference no: EM133806193

Question

The nurse practitioner (NP) is evaluating a client who presents with complaints of fatigue and weakness. Review the electronic health record below and click to select the client's risk factors for vitamin B-12 deficiency anemia. Progress Notes 04/01/20XX? Ruby Johnson (she/her/hers), 32 years old? Chief Complaint: Fatigue and weakness? Subjective: Ruby presents with complaints of persistent fatigue and weakness with a gradual onset of symptoms over the past few months. She is seeking medical attention due to concerns about the impact of these symptoms on daily functioning. Follows strict vegan diet. Reports intermittent diarrhea and has type 2 diabetes diagnosed 2 years ago. Takes metformin for diabetes management and takes ibuprofen for management of arthritis. Reports family history of thalassemia. ? Objective:? General Appearance: Appears fatigued; pallor noted on examination.? Vital Signs: Within normal limits.? Abdomen: No tenderness or organomegaly.? Neurological: Oriented and cooperative; no focal neurological deficits.