A client who reports feeling chronically fatigued has a hemoglobin of 10 g/dL (110 mmol/L). hematocrit of 34% (0.34 volume fraction), and microcytic and hypochromic red blood cells (RBCs). Based on these findings, which dinner selection should the nurse suggest to the client? Reference Range.
Hemoglobin (Hgb) [16 to 18 g/dL (160 to 180 g/L)]
Hematocrit (Hct) [42% to 52% (0.42 to 0.52 volume fraction)]
9000
Broiled white fish with a baked sweet potato.
Cheese pasta and a lettuce and tomato salad.
Grilled shrimp and seasoned rice with asparagus salad.
Beef steak with steamed broccoli and orange slices.
The Correct Answer is D
D. Beef steak is an excellent source of heme iron, which is more readily absorbed by the body compared to non-heme iron found in plant-based foods. Steamed broccoli is also a good source of non-heme iron and vitamin C, which enhances iron absorption. Vitamin C-rich foods, such as orange slices, can help increase the absorption of iron from the meal.
A. White fish, such as cod or haddock, is also a healthy protein choice, but it does not provide the iron content needed to address the client's iron deficiency anemia and chronic fatigue effectively
B. Cheese pasta primarily provides carbohydrates and protein but lacks significant amounts of iron. Lettuce and tomato salad is low in calories and rich in vitamins and minerals, but it does not contribute to increasing dietary iron intake.
C. Seasoned rice and asparagus salad are nutritious choices, but they do not contain substantial amounts of iron.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Breakthrough pain is a transient exacerbation of pain that occurs despite the use of around- the-clock analgesics for persistent pain. Breakthrough pain episodes require rapid intervention with additional analgesics or adjustments to the current pain management regimen to provide adequate pain relief and improve the client's quality of life.
A. Replacing transdermal analgesic patches every 72 hours is important for ensuring consistent delivery of medication, but it is not directly related to addressing breakthrough pain.
B. Administering analgesics on a fixed and continuous schedule is important for maintaining baseline pain control, but it may not address breakthrough pain adequately.
D. Frequently evaluating the client's pain is essential, but monitoring specifically for breakthrough pain ensures timely intervention when pain exacerbations occur.
Correct Answer is C
Explanation
C. The DASH eating plan emphasizes consumption of fruits, vegetables, low-fat dairy products, whole grains, lean proteins, and limited amounts of saturated fats, cholesterol, and sodium. Therefore, enjoying fat-free yogurt as an occasional snack food aligns with the principles of the DASH eating plan.
A. is a good practice for food safety but does not specifically indicate adherence to the DASH eating plan. The DASH plan encourages consumption of fruits and vegetables but does not require meticulous cleaning or peeling.
B. may be suitable for individuals with lactose intolerance but is not a specific requirement of the DASH eating plan. The DASH plan recommends low-fat or fat-free dairy products but does not specify lactose-free products.
D. The DASH plan encourages consumption of whole grains as part of a balanced diet and recommends incorporating whole grains such as whole wheat, brown rice, and oats.
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