A nurse is assisting in the plan of care for a client who has thrombocytopenia. Which of the following actions should the nurse include in the plan?

Choice A Reason:

3 oz chicken breast is incorrect. Chicken breast contains iron, but its iron content is generally lower compared to red meats like beef. It contains less heme iron, which is more readily absorbed by the body, compared to the iron in red meats.

Choice B Reason:

3 oz canned tuna is incorrect. Tuna is a good source of protein but doesn't contain as much iron as red meats. While it does have some iron content, it's generally lower compared to red meats like ground beef.

Choice C Reason:

3 oz pork roast is incorrect. Pork contains iron, but its iron content might not be as high as that found in red meats like ground beef. The specific cut and preparation method can also affect the iron content, but generally, pork might not provide as much iron as beef.

Choice D Reason:

3 oz ground beef is correct. Red meat, like ground beef, generally contains higher amounts of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based sources. This makes ground beef a good source of iron for individuals with iron-deficiency anemia.

Choice A Reason:
"I wish my sexual relationship with my partner was like it was before." This statement indicates a desire to return to the previous state, implying a sense of dissatisfaction or longing for the way things were before the ileostomy surgery, rather than acceptance of the current situation.
Choice B Reason:
"I have my partner empty the bag for me, so I don't have to look at it."While having a partner assist with bag management might indicate some level of adaptation, the statement implies avoidance or discomfort in dealing directly with the ileostomy. It may suggest a lack of full acceptance or adjustment to the presence of the ileostomy.
Choice C Reason:
“I look forward to having normal bowel movements again." This statement expresses a desire to return to the previous bodily function, indicating a longing for the way things were before the surgery rather than complete acceptance of the ileostomy as a new way of managing bowel movements.
Choice D Reason:
"I will attend a support group to help me handle difficulties when they occur." Attending a support group demonstrates a proactive approach toward acceptance and adjustment to living with an ileostomy. It shows the client's willingness to seek support, learn coping strategies, and engage with others facing similar challenges.