The nurse is caring for a 60-year-old client being seen in the physician's office. The client is diagnosed with pernicious anemia. Which comment, if made by the client, offers the nurse the most concern related to this diagnosis?

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The nurse is caring for a 60-year-old client being seen in the physician's office. The client is diagnosed with pernicious anemia. Which comment, if made by the client, offers the nurse the most concern related to this diagnosis?