A client has been diagnosed with pernicious anemia. What breakfast should the nurse suggest to increase dietary B12?

  1. banana nut muffin, bowl of grits, green tea
  2. bran waffles, grapefruit, iced coffee
  3. whole grain oatmeal with strawberry slices, orange juice
  4. scrambled eggs, beef sausage patty, milk
Number 4 is correct.
Rationale: Foods high in B12 include eggs, lamb, beef, shellfish, some cheeses, seafood, and milk. While the other foods need not be avoided, diet should focus on consuming B12–rich foods.