A female client was recently diagnosed with gastric cancer. She entered the hospital and had a total gastrectomy with esophagojejunostomy. Her postoperative recovery was uneventful. On conducting discharge teaching, the nurse discusses changes in bodily function and lifestyle changes with the client. In order to prevent pernicious anemia, the nurse stresses that the client must:
A. Receive monthly blood transfusions
B. Increase the amount of iron in her diet
C. Eat small quantities several times daily until she is able to tolerate food in moderate portions
D. Understand the need for Vitamin B12 replacement therapy
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