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.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is C

Explanation

C. Performing a bedside pregnancy test is crucial before proceeding with surgery for a female of childbearing age who may be pregnant. This test provides immediate information about the client's pregnancy status and helps ensure that appropriate precautions are taken to safeguard the health of both the client and the potential fetus.
A. Proceeding with surgery without confirming the pregnancy status could potentially expose the fetus to unnecessary risks if the client is indeed pregnant.
B. Canceling the surgery without confirming the pregnancy status may also delay necessary treatment for the client's acute appendicitis.
D. may provide valuable information about the potential stage of pregnancy if the client is indeed pregnant. However, confirming the pregnancy status through a bedside pregnancy test is the most immediate and definitive action

A. An acutely distended bladder. B. Profuse forehead diaphoresis. C. Skeletal traction misalignment. D. A severe pounding headache.

Correct Answer is A

Explanation

A. One of the most common triggers is a distended bladder. When the bladder becomes full, it sends signals to the spinal cord, but due to the injury, these signals are unable to pass beyond the level of injury. This results in uncontrolled sympathetic activation, leading to symptoms such as hypertension, sweating, and headache.
B. Forehead diaphoresis, or sweating, is a potential symptom of autonomic dysreflexia. However, it is more of a consequence rather than a precipitating factor. It occurs as a result of sympathetic nervous system activation in response to the triggering stimulus.
C. Skeletal traction misalignment is not a common precipitating factor for autonomic dysreflexia. Autonomic dysreflexia is typically triggered by stimuli related to visceral or autonomic reflexes, such as bladder distention or bowel impaction, rather than mechanical issues like traction misalignment.
D. A severe pounding headache can occur as a symptom of autonomic dysreflexia, but it is not the primary precipitating factor. The headache is a result of the sudden increase in blood pressure that occurs during autonomic dysreflexia.

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Naxlex Comprehensive Predictor Exams

While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?

Correct Answer is C

Explanation

A client with a cervical spinal injury (C7) is experiencing autonomic dysreflexia. The nurse should first assess the client for which precipitating factor?

Correct Answer is A

Explanation

Review H and P, nurse's note, and laboratory results. Click to mark whether the client statement indicates understanding or no understanding of the education given

A client experiencing a sudden onset of confusion and trouble speaking at home is transported to the emergency department. The client does not understand simple commands and appears very frustrated. Which intervention should the nurse perform in the immediate management of the client?

Five months following treatment for herpes zoster, an older adult client tells the home health nurse of continuing to experience pain where the rash occurred. Which action should the nurse implement?

While assisting a client to the toilet, the client begins to have a seizure and the nurse eases the client to the floor. The nurse calls for help and monitors the client until the seizing stops. Which intervention should the nurse implement first?

The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this disease process?

Review Hand P and laboratory results Exhibits What item(s) should be included in the treatment regimen for this client? Select all that apply.

A family suspects that AIDS dementia is occurring in their adult child who is HIV positive. Which symptom confirms the suspicion?

A client with draining skin lesions of the lower extremity is admitted with possible methicillin resistant Staphylococcus aureus (MRSA). What nursing intervention (s) should the nurse include in the plan of care? Select all that apply.