A nurse is providing teaching about dietary recommendations to a client who has iron deficiency anemia. Which of the following dietary recommendations should the nurse include as a food that enhances iron absorption when consumed with nonheme iron?

Choice A reason: Taking aspirin while on prednisone can increase the risk of gastrointestinal bleeding. Prednisone, a corticosteroid, can cause stomach irritation, and combining it with aspirin, a nonsteroidal anti-inflammatory drug (NSAID), can exacerbate this effect. Therefore, clients should avoid taking aspirin for minor aches and pains while on prednisone.

Choice B reason: A sore throat is not a common side effect of prednisone. Prednisone can suppress the immune system, making clients more susceptible to infections, but it does not typically cause a sore throat within the first week of use. If a client experiences a sore throat, they should contact their healthcare provider as it may indicate an infection.

Choice C reason: Clients on prednisone should avoid live vaccines, such as the flu vaccine, within one week of starting the medication. Prednisone can weaken the immune system, reducing the effectiveness of the vaccine and increasing the risk of developing the illness the vaccine is meant to prevent. It is generally recommended to consult with a healthcare provider before receiving any vaccines while on prednisone.

Choice D reason: Prednisone can cause potassium loss, leading to hypokalemia. Eating more bananas, which are high in potassium, can help counteract this effect and maintain normal potassium levels. Normal potassium levels range from 3.5 to 5.0 mEq/L. Therefore, clients should increase their intake of potassium-rich foods like bananas while taking prednisone.

Choice A reason: The statement “Normalcy begins to return to the community” describes the reconstruction phase of disaster response, not the heroic phase. During the reconstruction phase, efforts are focused on rebuilding and restoring the community to its pre-disaster state. This phase involves long-term recovery and the re-establishment of normalcy.

Choice B reason: The statement “Personnel are willing to work in dangerous conditions to provide assistance” accurately describes the heroic phase of disaster response. During this phase, there is an immediate and intense effort to save lives and prevent further harm. First responders, healthcare workers, and volunteers often work tirelessly and risk their own safety to provide urgent assistance and support to those affected by the disaster.

Choice C reason: The statement “Responders experience exhaustion due to extended relief efforts” pertains to the disillusionment phase of disaster response. In this phase, the initial adrenaline and motivation begin to wane, and responders may feel overwhelmed and fatigued by the prolonged demands of relief efforts. This phase can lead to burnout and a sense of frustration among responders.

Choice D reason: The statement “Survivors come together and share stories of survival” is characteristic of the honeymoon phase of disaster response. During this phase, there is a strong sense of community and solidarity among survivors. People come together to support each other, share their experiences, and find comfort in their shared resilience.