Which patient statement indicates that the patient understands self-care for pernicious anemia?

The statement about choosing nasal spray rather than injections of vitamin B12 indicates a solid understanding of self-care for pernicious anemia. Pernicious anemia is a condition characterized by the inability to absorb vitamin B12 due to a deficiency of intrinsic factor. As part of managing this condition, patients often require vitamin B12 supplementation, which can be administered through various routes, including injections or intranasal sprays.

Choosing the nasal spray option highlights the patient's awareness of alternative methods to receive necessary B12 supplementation. This implies that the patient is informed about available treatment options and recognizes the importance of adhering to their vitamin B12 needs in a way that is manageable and possibly more convenient for them.

While dietary adjustments, like increasing red meat intake, may have a role in overall health, they are not sufficient for addressing the intrinsic vitamin B12 absorption issues characteristic of pernicious anemia. The mention of stopping alcohol consumption is a general good health practice but does not directly relate to the self-management of pernicious anemia. Lastly, the reference to proton pump inhibitors suggests misunderstandings regarding their relationship with vitamin B12 absorption; they may actually interfere with it, rather than aid in the management of pernicious anemia.