A client who reports feeling chronically fatigued has a hemoglobin of 10 g/dL (110 mmol/L). hematocrit of 34% (0.34 volume fraction), and microcytic and hypochromic red blood cells (RBCs). Based on these findings, which dinner selection should the nurse suggest to the client? Reference Range.

Hemoglobin (Hgb) [16 to 18 g/dL (160 to 180 g/L)]

Hematocrit (Hct) [42% to 52% (0.42 to 0.52 volume fraction)]

9000

Broiled white fish with a baked sweet potato.

Cheese pasta and a lettuce and tomato salad.

Grilled shrimp and seasoned rice with asparagus salad.

Beef steak with steamed broccoli and orange slices.

Answer and Explanation

The Correct Answer is D

D. Beef steak is an excellent source of heme iron, which is more readily absorbed by the body compared to non-heme iron found in plant-based foods. Steamed broccoli is also a good source of non-heme iron and vitamin C, which enhances iron absorption. Vitamin C-rich foods, such as orange slices, can help increase the absorption of iron from the meal.
A. White fish, such as cod or haddock, is also a healthy protein choice, but it does not provide the iron content needed to address the client's iron deficiency anemia and chronic fatigue effectively
B. Cheese pasta primarily provides carbohydrates and protein but lacks significant amounts of iron. Lettuce and tomato salad is low in calories and rich in vitamins and minerals, but it does not contribute to increasing dietary iron intake.
C. Seasoned rice and asparagus salad are nutritious choices, but they do not contain substantial amounts of iron.

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is ["B","C","F"]

Explanation

B. Sugary beverages and juices are major sources of added sugars and can contribute to weight gain, insulin resistance, and an increased risk of type 2 diabetes mellitus. By eliminating these beverages from the diet, the client can reduce their intake of empty calories and excess sugars, which may help improve blood sugar control and reduce the risk of diabetes.
C. Fiber-rich foods, such as fruits, vegetables, whole grains, and legumes, can help improve blood sugar control, promote satiety, and support weight management. Fiber also helps regulate bowel movements and may reduce the risk of developing type 2 diabetes mellitus.
F. Refined grains, such as white bread, white rice, and sugary cereals, have been stripped of their fiber and nutrients during processing, leading to rapid spikes in blood sugar levels. Minimizing the intake of refined grains and opting for whole grains instead can help stabilize blood sugar levels, improve insulin sensitivity, and reduce the risk of type 2 diabetes mellitus.
A. While some studies have suggested that cinnamon may have beneficial effects on blood sugar control, the evidence is limited and inconsistent. Additionally, taking high doses of cinnamon supplements may not be safe for everyone, particularly those with liver disease or taking certain medications.
D. While reducing intake of unhealthy fats, such as saturated and trans fats, is important for overall health and reducing the risk of heart disease, eliminating all fats from the diet is unnecessary and potentially harmful. Healthy fats, such as those found in nuts, seeds, avocados, and olive oil, are essential for nutrient absorption, hormone production, and overall well-being.
E. Increasing protein intake significantly may not be necessary or advisable for this client, especially without knowing their specific dietary needs and preferences. While protein is an important macronutrient for muscle repair and maintenance, doubling the usual amount of protein in the diet may not offer additional benefits and could potentially lead to imbalances in other nutrients.

A. Review need for pneumococcal vaccine. B. Implement bleeding precautions. C. Place the client in protective isolation. D. Assess vital signs every 4 hours.

Correct Answer is C

Explanation

C. An ANC of 500/mm3 (0.5 x 10/L) is indicative of severe neutropenia, which places the client at a significantly increased risk of developing infections due to the decreased ability of the immune system to fight off pathogens. Placing the client in protective isolation is essential to minimize the risk of exposure to infectious agents that could lead to severe infections
A. While reviewing the need for pneumococcal vaccine is important for preventing infections in immunocompromised clients, it may not be the most immediate priority in this scenario.
B. Implementing bleeding precautions is relevant for clients with thrombocytopenia but is not the most critical intervention for a client with severe neutropenia.
D. Assessing vital signs every 4 hours is a routine nursing intervention, but it may not directly address the heightened risk of infection associated with severe neutropenia.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Review H and P, nurse's note, and laboratory results. What other nutritional recommendation(s) would be helpful for this client in reducing risk for type 2 diabetes mellitus? Select all that apply.

Correct Answer is ["B","C","F"]

Explanation

A client has an absolute neutrophil count (ANC) of 500/mm3 (0.5 x 10/L) after completing chemotherapy. Which intervention is most important for the nurse to implement? Reference Range: Neutrophils (ANC) [2.500 to 5,800/mm (2.5 to 5.8 x 10/L)]

Correct Answer is C

Explanation

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