Probably 78 but most likely 9
        
             
        
        
        
The patient suffering with pernicious anemia has vitamin B12 deficiency.
<h3>Pernicious anemia is what?</h3>
A type of anemia in which vitamin B12 is deficient is called pernicious anemia. Vitamin B12 is required to make red blood cells in the body. You can get this vitamin by eating foods including meat, poultry, seafood, eggs, and dairy products. For intestinal absorption, vitamin B12 is bound by the special protein known as an intrinsic factor (IF).
<h3>What signs and symptoms point to pernicious anemia?</h3>
The symptoms of pernicious anemia may include fatigue, shortness of breath, rapid heartbeat, pallor, tingling and numbness in the hands and feet, appetite loss, diarrhea, shakiness when walking, bleeding gums, diminished sense of smell and confusion.
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They should be checked for Both b. and c.
        
             
        
        
        
The nurse would be obliged to take immediate and focused action to prevent imminent death to a client showing its symptoms. 
According to Merriam Webster 2012, the term imminent is defined as "about to happen or forthcoming".
This is the last phase of the dying process where death can occur at any time. During this phase, the body starts to lose all its power and becomes unresponsive. Vital organs fail to work efficiently resulting in some typical symptoms like inability to move around, increased respiratory rate, increased secretions, irregular pulse, etc. 
Every nurse is obliged to take care of their patient's last wishes regarding their care preferences at the end of their life. Providing the best possible care at the imminent phase of life becomes mandatory as this is the last moment that would be remembered by the family members. The nurse needs to perform thorough assessments, rapid response to changes in status, alternation of medications, timely discontinuation, and acknowledge interventions to promote comfort to the client. 
To know more about the imminent phase of life, refer to the following link: 
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