A nurse is educating a client with anemia about dietary modifications to enhance iron absorption. Which of the following food combinations should the nurse recommend to the client to optimize iron uptake?

Whole-grain bread with eggs

Red meat with dairy products

Spinach with nuts

Lentils with beans

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because whole-grain bread contains phytates that can inhibit iron absorption, and although eggs enhance non-heme iron absorption, the combination with whole-grain bread may not be as effective as other options.

B) This choice is correct. Red meat is a rich source of heme iron, which is well-absorbed, and dairy products are sources of calcium that do not significantly inhibit heme iron absorption. Combining heme iron with calcium-rich foods can help optimize iron uptake.

C) This choice is incorrect because although spinach is a source of non-heme iron, it also contains substances such as oxalates that can hinder iron absorption. Nuts, while being nutritious, do not specifically enhance iron absorption.

D) This choice is incorrect because both lentils and beans are sources of non-heme iron, and the combination does not provide a significant enhancer of iron absorption.

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Correct Answer is C

Explanation

A) This choice is incorrect because hemoglobin electrophoresis is used to identify abnormal hemoglobin types, not to assess the size and shape of red blood cells.

B) This choice is incorrect because a reticulocyte count measures the number of immature red blood cells in the blood and helps determine if the bone marrow is responding appropriately to anemia, but it does not assess the size and shape of red blood cells.

C) This choice is correct. A peripheral blood smear is used to examine the morphology of red blood cells, including their size, shape, and appearance. It can help identify different types of anemia and determine the cause of anemia.

D) This choice is incorrect because serum iron levels provide information about iron status but do not directly assess the size and shape of red blood cells.

A. Vegetarian diet B. Chronic kidney disease C. Excessive red blood cell destruction D. Gastrointestinal bleeding

Correct Answer is ["A","D"]

Explanation

A) This choice is correct. A vegetarian diet, especially if not well-balanced and lacking in iron-rich foods, can lead to iron-deficiency anemia.

B) This choice is incorrect. Chronic kidney disease is more likely to cause anemia due to impaired erythropoietin production rather than directly causing iron deficiency.

C) This choice is incorrect. Excessive red blood cell destruction is associated with hemolytic anemia, not iron-deficiency anemia.

D) This choice is correct. Gastrointestinal bleeding, such as from peptic ulcers or inflammatory bowel disease, can lead to chronic blood loss and iron-deficiency anemia.

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A nurse is educating a client with anemia about dietary modifications to enhance iron absorption. Which of the following food combinations should the nurse recommend to the client to optimize iron uptake?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with anemia. Which diagnostic test should the nurse anticipate to determine the cause of the anemia and assess the size and shape of the red blood cells?

Correct Answer is C

Explanation

A nurse is providing education to a client diagnosed with iron-deficiency anemia. Which of the following factors could contribute to the development of this condition? Select all that apply.

Correct Answer is ["A","D"]

Explanation

A client reports experiencing a tingling sensation in the hands and feet, along with difficulty maintaining balance. A nurse should recognize these as possible symptoms of which type of anemia?

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?

A client is receiving epoetin alfa therapy as part of the management of anemia. The nurse should monitor the client for which potential side effect of this medication?

A client with anemia is receiving packed red blood cell (PRBC) transfusions. The nurse should prioritize which action during the transfusion process?

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 complains of fatigue and weakness. Which additional assessment finding is commonly associated with this condition?

A client with anemia is undergoing a Schilling test to determine the cause of the condition. The nurse should recognize that this test is used to diagnose which type of anemia?

A nurse is caring for a client diagnosed with iron-deficiency anemia. The client asks the nurse about dietary changes to improve their condition. Which food item should the nurse recommend to the client to increase their iron intake?