A 49-year-old female patient presents to the nurse practitioner with new onset iron deficiency anemia. Which meal plan would reflect the patient’s understanding of an appropriate diet?
Coffee with scrambled egg whites, soy milk, and protein shake
Pork chop, apple sauce, cornbread, and apple pie
Chicken salad sandwich, potato salad, and ice cream
Steak, spinach, apricots, beans, and raisin oatmeal cookies
The Correct Answer is D
Choice A reason: Egg whites and soy milk contain minimal heme iron and coffee can inhibit iron absorption, making this plan insufficient for iron repletion.
Choice B reason: While pork contains some heme iron, the meal lacks variety and plant sources rich in iron, and desserts do not contribute significant iron.
Choice C reason: Chicken salad provides limited heme iron and potato salad is low in iron; overall, the meal does not adequately support iron repletion.
Choice D reason: This meal includes both heme iron (steak) and non-heme iron (spinach, beans, raisins, apricots), and vitamin C from fruits enhances absorption, reflecting proper dietary understanding for iron deficiency anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Generalized anxiety disorder involves pervasive worry across multiple domains of life, rather than anxiety limited to social situations, making this diagnosis less accurate.
Choice B reason: Agoraphobia is the fear of being in situations where escape may be difficult or help may not be available, often leading to avoidance of open or crowded spaces. The patient’s anxiety is situation-specific to social interactions, not general environments.
Choice C reason: Social anxiety disorder involves intense fear of social situations due to potential embarrassment or negative evaluation. The patient’s avoidance of parties and fear of social embarrassment are classic features supporting this diagnosis.
Choice D reason: Panic disorder involves recurrent, unexpected panic attacks and fear of future attacks. The patient’s anxiety is anticipatory and social in nature, without evidence of spontaneous panic attacks, making this diagnosis less appropriate.
Correct Answer is A
Explanation
Choice A reason: High BMI is generally protective against fractures because increased body mass provides mechanical loading that strengthens bones.
Choice B reason: Female sex is a recognized risk factor due to lower peak bone mass and postmenopausal estrogen deficiency.
Choice C reason: Smoking accelerates bone loss and increases fracture risk by impairing bone formation and calcium absorption.
Choice D reason: Excessive alcohol intake is detrimental to bone health and increases fracture risk through multiple mechanisms including falls and bone metabolism impairment.
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