A nurse is providing prenatal teaching about iron to a client who follows a vegetarian diet. The nurse should recommend that the client consume which of the following foods to enhance the absorption of nonheme iron?

Boiled eggs

Orange slices

Cheddar cheese

Mixed nuts

Answer and Explanation

The Correct Answer is B

Rationale:

A. Boiled eggs: While eggs contain some iron, they are not known to enhance the absorption of nonheme iron. In fact, certain components in eggs may inhibit iron absorption from plant-based sources.

B. Orange slices: Vitamin C (ascorbic acid) found in citrus fruits like oranges significantly enhances the absorption of nonheme iron by reducing it to a more absorbable form. This makes orange slices an ideal complement to iron-rich plant foods.

C. Cheddar cheese: Dairy products like cheese are low in iron and contain calcium, which can actually compete with iron for absorption in the intestines, reducing its bioavailability rather than enhancing it.

D. Mixed nuts: Although nuts contain some iron, they are also high in phytates, which can inhibit iron absorption. They do not actively enhance nonheme iron uptake and are not the best dietary pairing for this purpose.

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

Explanation

Rationale for Correct Findings:

Productive cough: In a client with COPD and recent MI, this may signal infection or fluid overload, especially if paired with fever, dyspnea, and hypoxia. Immediate assessment is needed to rule out pneumonia or heart failure.
Shortness of breath and chest pain with ambulation: This raises concern for myocardial ischemia, reinfarction, or worsening heart function. Chest pain with minimal exertion post-MI demands prompt evaluation and possible ECG and oxygen therapy.
Anxiety and fear of dying: Sudden intense fear may indicate worsening hypoxia, cardiac distress, or even be a prodrome to another MI. It should not be dismissed as purely psychological, especially in the context of other concerning symptoms.

Rationale for Incorrect Findings:

Pain rated 3/10: A mild pain score suggests the discomfort is currently manageable. While chest pain after MI is always important, this level does not in itself indicate an emergency unless it worsens or is unrelieved.
Oriented to room: Being alert and oriented indicates preserved cognition and neurologic stability. No immediate follow-up is needed based on this observation.

A. Expect to have a rapid pulse rate for the first few weeks B. Return in two weeks for a follow-up MRI. C. Resume tub baths and swimming after 24 hr. D. Wear loose-fitting clothing.

Correct Answer is D

Explanation

Rationale:

A. Expect to have a rapid pulse rate for the first few weeks: A newly implanted ICD does not cause a rapid heart rate. In fact, it monitors for dangerous rhythms and delivers a shock if one is detected. A rapid pulse could signal a complication and should be reported immediately.

B. Return in two weeks for a follow-up MRI: MRIs are generally contraindicated unless the ICD is MRI-compatible, which is not always the case. Strong magnetic fields can interfere with the device, so alternative imaging is typically used unless cleared by a cardiologist.

C. Resume tub baths and swimming after 24 hr: Clients should avoid submerging the incision site in water until it is fully healed, typically after several weeks. Early immersion increases the risk of infection at the surgical site.

D. Wear loose-fitting clothing: Loose clothing prevents irritation and pressure on the incision site during the healing process. It also helps reduce discomfort and lowers the risk of disturbing the ICD leads or dressing.

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A nurse is providing prenatal teaching about iron to a client who follows a vegetarian diet. The nurse should recommend that the client consume which of the following foods to enhance the absorption of nonheme iron?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

A nurse is planning teaching for a client who has a newly implanted implantable cardioverter/defibrillator. Which of the following information should the nurse include?

Correct Answer is D

Explanation

Exhibits For each potential assessment finding, click to specify if the finding is consistent with Crohn’s disease, appendicitis or intussusception. Each finding may support more than 1 disease process.

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