Which instruction would the nurse include in the teaching plan for a patient newly diagnosed with microcytic hypochromic anemia?

Take enteric-coated iron with each meal.

Take cobalamin with green, leafy vegetables.

Take the iron with orange juice 1 hour before meals.

Decrease the intake of the antiseizure medications to improve anemia.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Enteric-coated iron is designed to be absorbed in the small intestine, not the stomach. Taking it with each meal might decrease its absorption due to interaction with food.

Choice B rationale:

Cobalamin (vitamin B12) deficiency can cause macrocytic anemia, not microcytic hypochromic anemia. Taking cobalamin with green, leafy vegetables does not address the specific iron deficiency seen in microcytic hypochromic anemia.

Choice C rationale:

Take the iron with orange juice 1 hour before meals is the correct answer. Vitamin C enhances the absorption of non-heme iron (the type of iron found in plant-based foods and iron supplements) by reducing it to a more absorbable form. Taking iron supplements with orange juice, which is high in vitamin C, can significantly improve iron absorption. Taking it before meals ensures better absorption due to reduced interaction with other dietary components.

Choice D rationale:

Decreasing the intake of antiseizure medications will not improve microcytic hypochromic anemia. Antiseizure medications do not directly influence iron absorption or the production of red blood cells.

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Correct Answer is D

Explanation

Choice A rationale:

This statement is incorrect. Mexican Americans do not have higher rates of good blood pressure control compared to other populations.

Choice B rationale:

This statement is incorrect. Mexican Americans are not more likely to receive treatment for hypertension compared to other populations.

Choice C rationale:

This statement is incorrect. While hypertension is prevalent among Mexican Americans, stating they have the highest prevalence of hypertension in the world is inaccurate. The prevalence of hypertension is influenced by various factors and can vary across different regions globally.

A. The electrolyte is the most abundant intracellular cation present in the body. B. The electrolyte may cause extracellular fluid overload. C. Magnesium may affect neuromuscular excitability and contractility. D. The patient is at risk for hypotension when the levels of magnesium decrease.

Correct Answer is C

Explanation

Choice A rationale:

While magnesium is indeed the most abundant intracellular cation in the body, this fact alone does not explain why the nurse would assess the patient's magnesium level.

Choice B rationale:

Magnesium imbalance can cause issues in the extracellular fluid compartment, but this choice does not explain why the nurse would specifically assess the patient's magnesium level.

Choice D rationale:

While hypotension can be a symptom of severe magnesium deficiency, this choice does not provide a rationale for assessing the patient's magnesium level. In this case, choice C is correct because magnesium plays a crucial role in neuromuscular excitability and contractility. Abnormal magnesium levels can lead to neuromuscular symptoms such as muscle weakness, tremors, and spasms. Additionally, magnesium is involved in cardiac muscle function, and low magnesium levels can lead to arrhythmias and other cardiac issues. Therefore, assessing the patient's magnesium level is essential in understanding their neuromuscular and cardiac health.

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Which instruction would the nurse include in the teaching plan for a patient newly diagnosed with microcytic hypochromic anemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse presents information to a group of nursing students about cultural and ethnic health disparities related to hypertension.Which information would the nurse include about the comparison of Mexican Americans to White and Black populations?

Correct Answer is D

Explanation

Which rationale supports the nurse's assessment of a patient's magnesium level?

Correct Answer is C

Explanation

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