The LPN/LVN assists in the management of the home care of an elderly client who has had pernicious anemia for 10 years. Because of a common complication associated with the disease, it is MOST important that the LPN/LVN instruct the client about which of the following procedures?

1. Gastroscopy.
2. Liver biopsy.
3. Complete blood count.
4. Bone marrow transplant.

Option 1.

Explanation:

If you look at this question very well we will see that all of the options that is options 1-4 are somewhat related somehow but in the question we are asked for the MOST Important, and the answer will be Gastroscopy. Gastroscopy is a technique in which a medical professional make use of gastroscope to determine whether a client has a peptic ulcer or not.

We are given in the question that the "elderly client who has had pernicious anemia for 10 years" and that means that gastroscopy procedure is most important since someone that has pernicious anemia has great tendency of having a peptic ulcer.

1-Gastrocopy

Explanation:

Gastroscopy should be recommended  for the patient because . pernicious anemia is one of the risk factors of gastric cancer, due to inability of  gastric epithelium lining to secret Intrinsic factor needed for Vit. B12 absorption from wall of the small intestine.

Therefore in order for the woman to avoid the risk, or to take early curative measures, Gastrocopy (endoscopy) should be recommended, it is the process of examining the lining of the stomach to find out if there is peptic cancer and to confirm its presence , it involve the use  a  narrow tube with microscopic lens at the end to send image signals  to the monitor for vision.

Liver biospy has no correlation  with the complication from  pernicious anemia

Counting the  RBC does not have any significant effects since these are not mature RBC they have no influence on the total RBC, thus this can not produce complication that will lead to gastric cancer.