The nurse is caring for a client with a new diagnosis of anemia. Which dietary recommendation should the nurse provide?

Increase iron-rich foods

Limit vitamin C intake

Restrict green leafy vegetables

Avoid whole grains

Answer and Explanation

The Correct Answer is A

Choice A reason: Increasing iron-rich foods (e.g., red meat, spinach) corrects anemia by boosting hemoglobin synthesis, as iron is essential for red blood cell production. This addresses the underlying deficiency, improving oxygen transport, making it the priority dietary recommendation for anemia management.

Choice B reason: Limiting vitamin C is incorrect, as it enhances iron absorption, aiding anemia correction. Iron-rich foods are the priority, as they directly supply the deficient nutrient, improving hemoglobin levels, making vitamin C restriction counterproductive to effective anemia treatment.

Choice C reason: Restricting green leafy vegetables, which are iron-rich, worsens anemia. These foods (e.g., spinach) provide dietary iron, essential for hemoglobin synthesis. Increasing iron intake is the priority, as it corrects the deficiency, making vegetable restriction inappropriate for anemia.

Choice D reason: Avoiding whole grains is irrelevant, as they provide nutrients supporting overall health. Iron-rich foods directly address anemia by supplying iron for red blood cell production, making them the priority dietary recommendation over grain restrictions, which do not impact anemia correction.

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Correct Answer is A

Explanation

Choice A reason: Consistent salt intake is critical for lithium, as sodium levels affect lithium excretion. Low sodium increases lithium toxicity, causing tremors or confusion. Maintaining stable sodium intake ensures therapeutic levels, making this the priority teaching point for safe lithium therapy.

Choice B reason: Avoiding high-fiber foods is irrelevant to lithium therapy. Fiber affects gastrointestinal health but not lithium pharmacokinetics. Consistent salt intake is essential, as sodium fluctuations alter lithium clearance, risking toxicity, making dietary sodium the priority teaching focus.

Choice C reason: Increasing caffeine is inappropriate, as it may exacerbate bipolar symptoms and increase lithium excretion, risking subtherapeutic levels. Consistent salt intake stabilizes lithium levels, preventing toxicity or inefficacy, making it the critical teaching point for effective bipolar management.

Choice D reason: Limiting physical exercise is unnecessary for lithium therapy. Exercise supports mental health in bipolar disorder but does not directly affect lithium levels. Consistent salt intake is the priority, as sodium balance ensures safe and effective lithium therapy.

A. Obtain an arterial blood gas prior to the procedure B. Perform the drainage immediately after meals C. Instruct the client to breathe shallow and fast D. Explain that the client may be placed in five positions

Correct Answer is D

Explanation

Choice A reason: Obtaining an arterial blood gas assesses oxygenation and acid-base status, useful in COPD management, but is not required before postural drainage. This invasive procedure is unnecessary for routine drainage, which mobilizes secretions. Explaining positions prepares the client, enhancing cooperation and effectiveness.

Choice B reason: Performing drainage after meals risks aspiration or vomiting, as a full stomach increases intra-abdominal pressure in COPD patients. Postural drainage is most effective when performed on an empty stomach, making this approach incorrect. Patient education on positioning is the priority.

Choice C reason: Shallow, fast breathing is counterproductive in COPD, as it reduces tidal volume and worsens hypercapnia. Postural drainage requires slow, deep breaths to mobilize secretions and improve ventilation. Explaining positions ensures proper technique, making this breathing instruction incorrect.

Choice D reason: Explaining that the client may be placed in five positions (e.g., prone, supine, lateral) prepares them for postural drainage, which uses gravity to mobilize lung secretions in COPD. This education enhances compliance and effectiveness, as proper positioning is critical for therapeutic success, making it the correct approach.

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The nurse is caring for a client with a new diagnosis of anemia. Which dietary recommendation should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of bipolar disorder is prescribed lithium. Which teaching point should the nurse emphasize?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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