(Select all that apply): A nurse is providing instructions to a client with vitamin B12 deficiency anemia.
Which actions should the nurse include in the client's self-care plan to prevent recurrence of the deficiency? (Select three.)

Choice A rationale:

Limit alcohol consumption is a crucial action to include in the client's self-care plan to prevent the recurrence of vitamin B12 deficiency anemia.

Excessive alcohol intake can interfere with the absorption of vitamin B12 in the body.

Alcohol can damage the lining of the stomach and the small intestine, where vitamin B12 is absorbed.

By limiting alcohol consumption, the client can improve their absorption of vitamin B12, reducing the risk of recurrence.

Choice C rationale:

Consuming foods high in vitamin C is another important action to prevent the recurrence of vitamin B12 deficiency anemia.

Vitamin C can enhance the absorption of vitamin B12 in the body.

Including vitamin C-rich foods in the diet can help improve the body's ability to absorb the vitamin B12 from dietary sources.

This is especially important for individuals who may have difficulty absorbing vitamin B12 due to underlying conditions.

Choice E rationale:

Monitoring for signs of infection is a relevant action in the self-care plan for preventing recurrence of vitamin B12 deficiency anemia.

Infections can lead to anemia by affecting the production of red blood cells.

By monitoring for signs of infection and promptly seeking medical treatment if any signs or symptoms arise, the client can reduce the risk of anemia caused or exacerbated by infections.

Choice B rationale:

Avoiding foods rich in vitamin B12 is not a recommended action for preventing the recurrence of vitamin B12 deficiency anemia.

In fact, it is counterproductive because the client with this deficiency should aim to increase their intake of vitamin B12-rich foods or supplements to correct the deficiency.

Choice D rationale:

Maintaining a diet low in iron is also not a recommended action for preventing the recurrence of vitamin B12 deficiency anemia.

Iron is essential for the production of red blood cells, and individuals with vitamin B12 deficiency anemia may have concurrent iron deficiency anemia.

Limiting iron intake can exacerbate the anemia and is not advisable.

Choice A rationale:

Pale skin (pallor) is a common symptom of anemia, but it is not specific to vitamin B12 deficiency anemia.

Many types of anemia can lead to paler skin.

Choice B rationale:

Joint pain and stiffness are not typically associated with vitamin B12 deficiency anemia.

This symptom is more characteristic of other conditions, such as arthritis.

Choice C rationale:

This is the correct answer.

Feeling lightheaded and dizzy when standing up quickly is a common symptom of anemia, including vitamin B12 deficiency anemia.

Anemia can lead to decreased oxygen delivery to the brain, resulting in dizziness upon sudden position changes.

Choice D rationale:

Higher energy levels are not a typical symptom of vitamin B12 deficiency anemia.

Fatigue and weakness are more common symptoms of this condition.