A nurse is teaching a client who has a new second-degree ankle sprain. Which of the following instructions should the nurse include in the teaching? Select all that apply.

Choice A reason: Tea

Tea contains polyphenols and tannins, which can inhibit the absorption of nonheme iron. Therefore, it is not recommended to consume tea with iron-rich foods if the goal is to enhance iron absorption.

Choice B reason: Dried beans

Dried beans are a good source of nonheme iron, but they do not enhance its absorption. In fact, beans contain phytates, which can inhibit iron absorption. While they are beneficial for iron intake, they should be consumed with foods that enhance iron absorption, such as those rich in vitamin C.

Choice C reason: Milk

Milk contains calcium, which can inhibit the absorption of both heme and nonheme iron. Therefore, it is not recommended to consume milk with iron-rich foods if the goal is to enhance iron absorption.

Choice D reason: Tomato juice

Tomato juice is rich in vitamin C, which significantly enhances the absorption of nonheme iron. Consuming vitamin C-rich foods like tomato juice with iron-rich foods can improve the body’s ability to absorb iron, making it an excellent choice for individuals with iron deficiency anemia.

Choice A reason: Asking the client why they think they might have cancer when their diagnosis is benign can come across as dismissive and may not address the client’s underlying anxiety. It is important for the nurse to acknowledge the client’s feelings and provide support rather than questioning their concerns.

Choice B reason: Telling the client that there is no reason to worry based on their chart can be seen as dismissive of their feelings. While it may be factually correct, it does not address the client’s emotional state or provide the support they need.

Choice C reason: This response acknowledges the client’s concern and opens the door for further discussion. It shows empathy and understanding, which can help the client feel heard and supported. This approach aligns with therapeutic communication techniques that encourage clients to express their feelings and concerns.

Choice D reason: Suggesting that the client discuss their concerns with their provider is not incorrect, but it may not provide the immediate emotional support the client needs. While it is important for the client to have a detailed discussion with their provider, the nurse should first acknowledge and address the client’s immediate concerns.