A nurse is preparing to initiate enteral feedings for a client who has inflammatory bowel disease. The nurse should recognize that which of the following formulas is appropriate for this client?

The correct answer is choice A. “Fish and poultry are primary sources of heme iron.”

Choice A rationale:

Fish and poultry are indeed primary sources of heme iron, which is the type of iron found in animal products.Heme iron is more easily absorbed by the body compared to non-heme iron, which is found in plant-based foods.

Choice B rationale:

Cooking in a stainless steel skillet does not significantly increase the amount of iron in the food.While cooking in cast iron skillets can add some iron to the food, stainless steel does not have the same effect.

Choice C rationale:

Drinking iced tea with meals can actually decrease the amount of iron absorbed.Tea contains tannins, which can inhibit the absorption of non-heme iron from plant-based foods.

Choice D rationale:

Drinking orange juice with iron supplements can actually increase absorption, not decrease it.Vitamin C, found in orange juice, enhances the absorption of non-heme iron.

Choice A rationale:
Hyperventilation, or rapid breathing, is a potential manifestation of hyperglycemia in clients with diabetes mellitus. As blood glucose levels rise, the body attempts to eliminate excess glucose through increased urination. This can lead to dehydration and electrolyte imbalances, potentially resulting in hyperventilation as the body tries to compensate for acidosis. The increased respiratory rate is an attempt to expel carbon dioxide and normalize pH levels. Teaching the client about the connection between hyperglycemia and hyperventilation is crucial, as recognizing this symptom can prompt early intervention.
Choice B rationale:
Cool skin is not a typical manifestation of hyperglycemia. Hyperglycemia usually leads to increased blood flow and warm skin due to the vasodilatory effects of high glucose levels. Cool skin might be more indicative of poor peripheral circulation, but it's not directly related to hyperglycemia.
Choice C rationale:
Metallic taste is not a recognized manifestation of hyperglycemia. Hyperglycemia primarily affects the body's glucose metabolism and can lead to symptoms like increased thirst, frequent urination, and fatigue. Metallic taste is not directly linked to hyperglycemia and might be related to other factors.
Choice D rationale:
Anxiety can be a psychological response to the stress of a new diabetes diagnosis, but it is not a specific manifestation of hyperglycemia. Hyperglycemia-related symptoms are more physiological and metabolic in nature, involving glucose regulation and acid-base balance.