A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of the following dietary recommendations should the nurse include in the teaching plan?

Milk and turkey slices

Yogurt and mozzarella

Spinach and beef

Fish and cottage cheese

Answer and Explanation

The Correct Answer is C

A.   While milk is a good source of calcium, it is not beneficial for iron absorption. In fact, high calcium intake can inhibit iron absorption. Turkey is a good source of heme iron, which is more easily absorbed by the body compared to non-heme iron (found in plant-based sources). While turkey is beneficial, the combination with milk is not ideal due to the calcium interfering with iron absorption.
B.   Like milk, yogurt is rich in calcium. Calcium can inhibit iron absorption, making yogurt less ideal for improving iron levels if consumed in large amounts with iron-rich foods. This is also a dairy product high in calcium. Combining it with yogurt does not enhance iron absorption and can hinder it.
C.   Spinach is a good source of non-heme iron, though it contains oxalates, which can inhibit iron absorption. However, spinach can still contribute to overall iron intake. Beef is an excellent source of heme iron, which is easily absorbed by the body. Combining beef with spinach can help improve overall iron intake, despite the oxalates in spinach.
D.   Fish, such as salmon or tuna, is a good source of heme iron, which is beneficial for increasing iron levels. Cottage cheese is a dairy product high in calcium, which can inhibit iron absorption if consumed in large amounts.

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Correct Answer is A

Explanation

A. For effective breastfeeding, the baby should latch onto not just the nipple but also a significant portion of the areola and some breast tissue beyond it. This helps ensure that the baby gets a good latch, which promotes better milk transfer and reduces nipple pain for the mother.
B. While babies have some instinctual feeding behaviors, a proper latch typically requires guidance and assistance from the mother or nurse. Newborns often need help to achieve a deep latch that includes both the nipple and areola. Relying solely on the baby's instinct may lead to an ineffective latch and potential issues with breastfeeding.
C. While it's important for the baby to take some of the areola into their mouth, for the best latch, the baby should take in a larger portion of the areola and breast tissue. Simply placing the nipple and some of the areola may not be sufficient for a deep and effective latch.
D. Although newborns have small mouths, a proper latch should still involve the nipple and a good portion of the areola. Assuming that the baby will only take part of the nipple can lead to improper latching and potential breastfeeding difficulties.

A. Lactated Ringer's solution B. Dextrose 10% in water C. Dextrose 5% in water D. 0.9% sodium chloride

Correct Answer is C

Explanation

A. While Lactated Ringer's is often used for fluid resuscitation, it doesn't contain the necessary nutrients to replace TPN. It can lead to electrolyte imbalances and other complications if used for extended periods.
B. While Dextrose 10% provides calories, it lacks essential amino acids, electrolytes, and other nutrients found in TPN. Prolonged use can lead to imbalances and nutritional deficiencies.
C. Dextrose 5% in water is a commonly used IV fluid that can be administered temporarily while waiting for the next TPN container. It provides hydration and some calories, but it's important to monitor the client's glucose levels closely.
D. While 0.9% sodium chloride (normal saline) is used for fluid replacement, it can lead to hypernatremia (excess sodium) if used for extended periods, especially in clients receiving TPN.

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A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of the following dietary recommendations should the nurse include in the teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the newborn's mouth, which of the following responses should the nurse make?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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