A client with anemia presents with pallor of the skin and mucous membranes. The nurse should assess for which other related clinical manifestation?

A) This choice is incorrect because tingling sensation and difficulty maintaining balance are not typical symptoms of iron-deficiency anemia.

B) This choice is incorrect because aplastic anemia primarily affects the bone marrow and results in decreased production of all blood cells, not specifically causing tingling sensation or balance issues.

C) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells and is not directly related to neurological symptoms like tingling and balance difficulties.

D) This choice is correct. Vitamin B12 deficiency anemia can cause neurological symptoms, including tingling in the hands and feet (paresthesia) and difficulty maintaining balance due to nerve damage.

A) This choice is incorrect because hemolytic anemia is characterized by an increased destruction of red blood cells, which would typically result in a high reticulocyte count.

B) This choice is incorrect because iron-deficiency anemia is characterized by a low level of iron, which leads to decreased hemoglobin production but does not necessarily affect reticulocyte count.

C) This choice is correct. Aplastic anemia is characterized by the failure of the bone marrow to produce an adequate number of red blood cells, leading to a low reticulocyte count.

D) This choice is incorrect because pernicious anemia is caused by a deficiency in vitamin B12, which affects red blood cell maturation but does not directly influence reticulocyte count.