When developing a plan of care for the client diagnosed with iron-deficiency anemia, the nurse would encourage intake of which foods?

Cucumbers

Bran

Celery

Spinach

Answer and Explanation

The Correct Answer is D

Choice A reason: Cucumbers are not a good source of iron for the client with iron-deficiency anemia. Iron-deficiency anemia is a condition where the body does not have enough iron to produce hemoglobin, the protein that carries oxygen in the red blood cells. Cucumbers are mostly water and have very little iron content. The client should eat foods that are rich in iron, such as meat, poultry, fish, eggs, beans, and leafy green vegetables.

Choice B reason: Bran is not a good source of iron for the client with iron-deficiency anemia. Bran is the outer layer of cereal grains that contains fiber and some minerals, but not much iron. Bran can also interfere with the absorption of iron from other foods by binding to it and preventing it from entering the bloodstream. The client should avoid eating bran or other foods that contain phytates, oxalates, or tannins, which can reduce the bioavailability of iron.

Choice C reason: Celery is not a good source of iron for the client with iron-deficiency anemia. Celery is a low-calorie vegetable that has some vitamins and minerals, but very little iron. Celery also has a high water content and can fill up the stomach without providing much nutrition. The client should eat foods that are high in iron, such as meat, poultry, fish, eggs, beans, and leafy green vegetables.

Choice D reason: This is the correct answer. Spinach is a good source of iron for the client with iron-deficiency anemia. Spinach is a leafy green vegetable that has a high iron content and can help increase the hemoglobin level and the oxygen-carrying capacity of the blood. Spinach also has other nutrients, such as vitamin C, folate, and antioxidants, that can benefit the health of the client. The client should eat spinach and other foods that are high in iron, such as meat, poultry, fish, eggs, beans, and leafy green vegetables.

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Correct Answer is D

Explanation

Choice A reason: I will call dietary to bring you breakfast is not the best response by the nurse. This response may imply that the nurse is willing to compromise the test results or the client's safety by allowing them to eat before the test. The nurse should explain the rationale for fasting and offer the client some water or ice chips if allowed.

Choice B reason: Food may interact with the dye that is used for the test is not the best response by the nurse. This response may be partially true, but it is not specific or clear enough to justify the need for fasting. The nurse should explain that food can affect the absorption and distribution of the radioactive tracer that is injected into the bloodstream for the test, and that eating can also interfere with the quality of the images.

Choice C reason: I will ask the health care provider if the test can be rescheduled is not the best response by the nurse. This response may suggest that the nurse is not confident or knowledgeable about the test protocol or the client's condition. The nurse should explain the importance and urgency of the test and reassure the client that they will be able to eat after the test is done.

Choice D reason: The procedure is usually completed on an empty stomach is the best response by the nurse. This response is accurate and concise, and it informs the client of the standard preparation for the test. The nurse should also provide more details about the test procedure and the expected duration, and answer any questions or concerns that the client may have.

A. Administer if the blood pressure is 90/60 and monitor for side effects B. Hold if the heart rate is less than 60 beats per minute C. Teach to dangle feet before standing D. Encourage to limit the intake of potassium-rich foods E. Monitor fluid intake and output

Correct Answer is ["B","C","E"]

Explanation

Choice A reason: Chlorthalidone and atenolol are used to treat hypertension⁴⁵. However, administering the medication when the blood pressure is 90/60 might not be advisable. This is because atenolol, a beta-blocker, can further lower the heart rate and blood pressure¹¹⁷. Therefore, it's important to monitor the patient's blood pressure before administration¹.

Choice B reason: Atenolol can slow the heart rate¹¹⁷. If the heart rate is already less than 60 beats per minute, which is the lower limit of the normal range¹, the medication should be held and the healthcare provider should be notified⁵.

Choice C reason: One of the side effects of atenolol and chlorthalidone is dizziness or lightheadedness¹¹⁷. Teaching the patient to dangle their feet before standing can help prevent orthostatic hypotension, a form of low blood pressure that happens when you stand up from sitting or lying down¹¹.

Choice D reason: Chlorthalidone is a diuretic that can cause the body to lose potassium¹¹⁷. However, atenolol does not have this effect⁵. Therefore, it's not necessary to limit the intake of potassium-rich foods unless advised by a healthcare provider.

Choice E reason: Monitoring fluid intake and output is important when administering diuretics like chlorthalidone⁵. This can help ensure the patient is not becoming dehydrated and help monitor the medication's effectiveness¹¹.

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When developing a plan of care for the client diagnosed with iron-deficiency anemia, the nurse would encourage intake of which foods?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is ["B","C","E"]

Explanation

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