A nurse is caring for a client with pernicious anemia. Which of the following statements made by the client demonstrates an understanding of the condition?

"I should consume more iron-rich foods in my diet."

"I need to avoid foods high in vitamin C."

"I will need to take lifelong vitamin B12 supplements."

"I should limit my intake of leafy green vegetables."

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because pernicious anemia is not related to iron deficiency, so increasing iron-rich foods will not address the underlying cause.

B) This choice is incorrect because vitamin C actually enhances the absorption of vitamin B12, which is essential in pernicious anemia.

C) This choice is correct. Pernicious anemia is caused by the lack of intrinsic factor, a protein necessary for vitamin B12 absorption. Clients with pernicious anemia will require lifelong vitamin B12 supplementation, often through intramuscular injections.

D) This choice is incorrect. Leafy green vegetables are good sources of folate, which is not directly related to pernicious anemia.

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Correct Answer is A

Explanation

A) This choice is correct. Taking iron supplements with orange juice or other vitamin C-rich beverages enhances iron absorption due to the presence of vitamin C, which facilitates the absorption of non-heme iron.

B) This choice is incorrect because milk can inhibit iron absorption when taken with iron supplements.

C) This choice is incorrect because tea, especially black tea, contains tannins that can hinder iron absorption.

D) This choice is incorrect because carbonated water does not enhance iron absorption.

A. Coffee B. Tea C. Water D. Orange juice

Correct Answer is D

Explanation

A) This choice is incorrect because coffee contains substances that can inhibit iron absorption.

B) This choice is incorrect because tea, especially black tea, contains tannins that can hinder iron absorption.

C) This choice is incorrect because water does not enhance iron absorption.

D) This choice is correct. Orange juice, or any other vitamin C-rich beverage, enhances the absorption of non-heme iron found in supplements and plant-based foods.

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A nurse is caring for a client with pernicious anemia. Which of the following statements made by the client demonstrates an understanding of the condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with anemia who is receiving iron supplementation. The nurse should instruct the client to take the iron supplement with which type of beverage to enhance absorption?

Correct Answer is A

Explanation

A client with anemia is prescribed oral iron supplements. The nurse advises the client to take the supplements with which beverage to enhance iron absorption?

Correct Answer is D

Explanation

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A client with anemia is undergoing diagnostic evaluation. The nurse anticipates that which laboratory test will be ordered to assess the body's iron stores?

A client with anemia is experiencing headaches and dizziness. A nurse should suspect which type of anemia?

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A client with anemia presents with pallor of the skin and mucous membranes. The nurse should assess for which other related clinical manifestation?

A nurse is reviewing a client's laboratory results and finds a low mean corpuscular volume (MCV). Which type of anemia does this finding suggest?

A client with anemia is prescribed ferrous sulfate, an oral iron supplement. The nurse advises the client to take the medication at least one hour before or two hours after meals. What should the nurse inform the client about this timing?

A nurse is assessing a client with anemia, and the client reports a history of chronic alcoholism. Which type of anemia is most likely to be associated with alcoholism?