A nurse is caring for a client with pernicious anemia. Which of the following statements made by the client demonstrates an understanding of the condition?

A) This choice is incorrect because oranges are rich in vitamin C, which enhances iron absorption, but they do not contain significant amounts of iron.

B) This choice is incorrect because milk is not a good source of iron and may even hinder iron absorption when consumed in large quantities.

C) This choice is correct. Green leafy vegetables, such as spinach and kale, are excellent sources of iron and can help improve iron levels in clients with iron-deficiency anemia.

D) This choice is incorrect because white bread is not a significant source of iron and does not help in increasing iron levels.

A) This choice is incorrect because while blood pressure monitoring is essential for clients with chronic kidney disease, it is not specifically related to ESA therapy.

B) This choice is incorrect because serum potassium levels are important in chronic kidney disease, but they are not directly related to ESA therapy.

C) This choice is incorrect because dietary sodium intake is important in managing fluid balance in chronic kidney disease, but it is not directly related to ESA therapy.

D) This choice is correct. ESA therapy stimulates the production of red blood cells, and adequate iron levels are necessary for this process. Clients with chronic kidney disease often have decreased iron levels due to various factors, and iron supplementation is crucial for the success of ESA therapy.

Questions