A nurse is teaching a client with iron-deficiency anemia about dietary sources of iron. Which food items should the nurse recommend? Select all that apply.
Oranges
Spinach
Red meat
Nuts and seeds
Correct Answer : B,C,D
A) This choice is incorrect because oranges are a good source of vitamin C, which enhances iron absorption, but they do not provide significant iron content.
B) This choice is correct because spinach is a good source of iron, which is essential for clients with iron-deficiency anemia.
C) This choice is correct because red meat contains heme iron, a highly absorbable form of iron that can help improve iron levels in clients with anemia.
D) This choice is correct because nuts and seeds, such as pumpkin seeds and almonds, are good sources of iron.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. With meals
Taking ferrous sulfate with meals may reduce its absorption because food, particularly dairy products and certain medications, can interfere with iron absorption.
B. On an empty stomach
Ferrous sulfate is best absorbed on an empty stomach, as food can inhibit iron absorption. However, if gastrointestinal irritation occurs, it may be taken with a small amount of food.
C. At bedtime
Taking iron supplements at bedtime is not ideal because it can cause gastrointestinal discomfort, which may interfere with sleep.
D. Simultaneously with calcium supplements
Calcium supplements can interfere with the absorption of iron, so they should not be taken at the same time as ferrous sulfate. It is recommended to space them out by at least 2 hours.
Correct Answer is D
Explanation
A) This choice is incorrect because folate-deficiency anemia is associated with a deficiency of folic acid, often caused by poor dietary intake or malabsorption, but not specifically linked to alcoholism.
B) This choice is incorrect because hemolytic anemia is characterized by the destruction of red blood cells and is not directly related to alcoholism.
C) This choice is incorrect because sickle cell anemia is a genetic disorder and is not caused by alcohol consumption.
D) This choice is correct. Macrocytic anemia is commonly associated with alcoholism due to the direct toxic effects of alcohol on bone marrow, resulting in the production of larger-than-normal red blood cells (macrocytes).
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