A nurse is creating a dietary plan for an adult female client who has a hemoglobin level of 9.8 g/dL. Which of the following foods should the nurse recommend?

Maple syrup

Carrots

Orange juice

Raisins

Answer and Explanation

The Correct Answer is D

Choice A reason: Maple syrup, while a source of energy, is not rich in iron or vitamins that can significantly contribute to increasing hemoglobin levels.

Choice B reason: Carrots are a good source of beta-carotene and fiber but are not particularly high in iron, which is necessary for increasing hemoglobin levels.

Choice C reason: Orange juice is rich in vitamin C, which can enhance iron absorption, but on its own, it does not contribute significantly to hemoglobin levels.

Choice D reason: Raisins are a good source of iron and can help increase hemoglobin levels. They are also convenient as a snack and can be easily incorporated into the diet.

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Correct Answer is B

Explanation

Choice A reason: An oral temperature of 38.2°C (100.76°F) is slightly elevated but can be expected postoperatively as the body responds to surgical stress. It is not necessarily an indication of a complication unless it rises significantly or is accompanied by other symptoms.

Choice B reason: The output of burgundy colored urine can indicate bleeding in the urinary tract, which is a potential complication after TURP. Normal urine color ranges from pale yellow to deep amber, depending on hydration levels. Burgundy colored urine postTURP could suggest the presence of blood, warranting further assessment and intervention.

Choice C reason: Feeling an urge to void despite having an indwelling urinary catheter can be uncomfortable but is not uncommon after TURP due to irritation of the bladder. It is not typically a sign of a complication unless accompanied by other symptoms such as pain or difficulty urinating once the catheter is removed.

Choice D reason: A pulse rate of 58/min is within the normal resting range for adults, which is typically 60100 beats per minute. A lower than average pulse rate postoperatively might be normal for the patient, especially if they are on medications like betablockers, or it could be a sign of a good fitness level.

A. pH 7.30, HCO3 26 mEq/L, PaCO2 50 mm Hg B. pH 7.50, HCO3 20 mEq/L, PaCO2 32 mm Hg C. pH 7.55, HCO3 30 mEq/L, PaCO2 31 mm Hg D. pH 7.25, HCO3 19 mEq/L, PaCO2 30 mm Hg

Correct Answer is A

Explanation

Choice A reason: This set of values is indicative of metabolic acidosis with respiratory compensation, which is common in chronic kidney disease due to the accumulation of acids in the blood and the lungs' attempt to compensate by retaining CO2.

Choice B reason: This choice suggests respiratory alkalosis, which is less likely in chronic kidney disease unless there is a secondary respiratory condition causing hyperventilation.

Choice C reason: This choice indicates metabolic alkalosis, which is not typical for chronic kidney disease, as the kidneys are unable to excrete acid effectively.

Choice D reason: While this set of values does indicate acidosis, the expected compensatory response in chronic kidney disease would be an elevated PaCO2, not a normal or low value.

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A nurse is creating a dietary plan for an adult female client who has a hemoglobin level of 9.8 g/dL. Which of the following foods should the nurse recommend?

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