A client who haemorrhaged following surgery has a haemoglobin of 10 g/dl. (6.21 mmol/L) and a haematocrit of 36% (0.36 volume fraction) 48 hours later. The client has now progressed to a soft diet and is eating oatmeal for breakfast. Which beverage should the nurse encourage this client to drink to increase iron intake?
Reference Ranges
Haemoglobin (Hgb) [Reference Range: Male: 14 to 18 g/dL or 8.7 to 11.2 mmol/L]
Haematocrit (Hct) [Reference Range: Male: 42% to 52% or 0.42 to 0.52 volume fraction)
Coffee.
Hot tea.
Orange juice.
Apple juice
The Correct Answer is C
Choice A
Coffee is incorrect. Coffee can inhibit iron absorption and is not a good choice for increasing iron intake.
Choice B
Hot tea is incorrect. Similar to coffee, some compounds in tea can interfere with iron absorption, making it less optimal for increasing iron intake.
Choice C
Orange juice is correct. Orange juice is a great choice as it is high in vitamin C, which can enhance the absorption of iron from plant-based sources like oatmeal. The vitamin C in orange juice helps convert non-heme iron into a form that is more easily absorbed by the body.
Choice D
Apple juice is incorrect. While apple juice is a source of fluids, it doesn't provide the same level of vitamin C as orange juice, which is important for enhancing iron absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A
The consumption of dairy-based products should be eliminated from the diet. The statement is false Dairy products, especially low-fat or fat-free options, are included in the DASH diet as sources of calcium and other important nutrients. The DASH diet encourages moderation rather than elimination of dairy.
Choice B
The consumption of protein products should come from lean meats, nuts, and dried beans. The statement is correct. The DASH diet encourages including protein sources that are low in saturated fat and high in nutrients. Lean meats, nuts, and dried beans are examples of protein sources that fit this criterion.
Choice C
The consumption of bread products should be gluten-free. The statement is false The DASH diet does not specifically focus on gluten-free options. It emphasizes whole grains as a source of fibre, which is beneficial for heart health.
Choice D
The consumption of fruit and/or vegetables should total between 4 to 6 servings. The statement is false The DASH diet actually encourages a higher intake of fruits and vegetables, aiming for 8 to 10 servings per day. These foods are rich in potassium, magnesium, and fibre, which contribute to the diet's blood pressure-lowering effects.
Correct Answer is A
Explanation
Choice A
Serum HDL (high-density lipoprotein) of 35 mg/dL (0.91 mmol/L). Among the options provided, a serum HDL level of 35 mg/dL (0.91 mmol/L) is the assessment data that indicates the need for referral to a nutritionist. HDL is often referred to as "good" cholesterol because it helps remove excess cholesterol from the bloodstream, reducing the risk of cardiovascular disease. In this case, the HDL level of 35 mg/dL is below the recommended reference range for females (greater than 55 mg/dL or greater than 0.91 mmol/L), which could suggest a potential need for dietary and lifestyle interventions to improve cardiovascular health.
Choice B
Serum HbA1c (glycosylated haemoglobin) of 4.8% (0.05) is incorrect. This HbA1c level is within the normal reference range (4% to 5.9%) and indicates good blood sugar control.
Choice C
BMI (body mass index) of 22 kg/m² is incorrect. A BMI of 22 is within the normal weight range and might not necessarily indicate the need for a nutritionist referral.
Choice D
Total serum calcium of 10 mg/dL (2.5 mmol/L) is incorrect. This calcium level is within the normal reference range and might not require a nutritionist referral, unless there are other specific concerns related to calcium intake.
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