A nurse is providing discharge teaching for a client who has iron deficiency anemia. Which of the following information should the nurse include?

"Fish and poultry are primary sources of heme iron."

"Cooking in a stainless steel skillet increases the amount of iron in the food."

"Drinking iced tea with meals can increase the amount of iron absorbed."

"Drinking orange juice with iron supplements can decrease absorption."

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is D

Explanation

Choice Arationale:
Albumin in the urine is not an indication of normal kidney function. The presence of albumin in the urine, known as albuminuria, is a sign of kidney damage, especially in individuals with diabetes. It's essential for individuals with diabetes to monitor and manage their kidney health, as kidney damage is a common complication.

Choice Brationale:
Blood glucose levels between 200 and 212 milligrams per deciliter are higher than the recommended target range for individuals with type 1 diabetes. Maintaining blood glucose levels within a healthy range (typically 80-130 mg/dL fasting) is important to prevent complications.

Choice C rationale:
An HbA1c level of five percent is unrealistically low and not achievable. The HbA1c level reflects the average blood glucose level over the past two to three months. While lower HbA1c levels are associated with better diabetes control, aiming for an HbA1c of five percent would pose a risk of hypoglycemia and potential complications.
Choice D rationale:
The statement "I will have ketones in my urine if my blood glucose is maintained at 190 milligrams per deciliter" demonstrates an understanding of the relationship between high blood glucose levels and ketone production. Elevated blood glucose levels can lead to the breakdown of fats for energy, resulting in the production of ketones, which can be detected in the urine. Ketones in the urine can be a sign of inadequate diabetes management and a risk of diabetic ketoacidosis (DKA).

A. Rye toast with herbal tea. B. Graham crackers with peanut butter. C. Rice cereal with sliced bananas. D. Poached eggs with a wheat bagel.

Correct Answer is C

Explanation

Choice Arationale:
Rye toast with herbal tea is also not appropriate for someone with celiac disease. Rye bread contains gluten, and even though herbal tea is gluten-free, the combination with rye toast would still be harmful to the client.

Choice Brationale:
Graham crackers with peanut butter are not suitable for a client with celiac disease. Graham crackers are typically made from wheat flour, which contains gluten, a protein that individuals with celiac disease must avoid to prevent intestinal damage.

Choice C rationale:
The correct choice is rice cereal with sliced bananas. Rice cereal is naturally gluten-free and therefore safe for individuals with celiac disease. Sliced bananas can add flavor and nutrients to the meal without causing any harm to the client's condition.
Choice D rationale:
Poached eggs with wheat bagel is an unsuitable option. Wheat bagels contain gluten, which is harmful to individuals with celiac disease. Even though poached eggs are gluten-free, the risk of cross-contamination from the wheat bagel would be too high for this client.

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A nurse is providing discharge teaching for a client who has iron deficiency anemia. Which of the following information should the nurse include?

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