A nurse is providing education to a client with iron deficiency anemia who has been prescribed iron supplements. What should the nurse include in health education?

Increase the intake of vitamin E to enhance absorption.

Iron will cause the stools to darken in color.

Take the iron with dairy products to enhance absorption.

Limit foods high in fiber due to the risk for diarrhea.

Answer and Explanation

The Correct Answer is B

A. Increase the intake of vitamin E to enhance absorption:
Explanation: Iron absorption can be enhanced by taking vitamin C, not vitamin E. Therefore, this statement is not accurate.
B. Iron will cause the stools to darken in color:
Explanation: This statement is accurate. Iron supplements can cause stools to become darker in color. This is a common and harmless side effect.

C. Take the iron with dairy products to enhance absorption:
Explanation: Calcium-containing foods and supplements can inhibit the absorption of iron. Therefore, it is recommended to avoid taking iron supplements with dairy products.

D. Limit foods high in fiber due to the risk for diarrhea:
Explanation: Iron supplements can cause constipation, not diarrhea. Therefore, limiting foods high in fiber is not necessary.

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Correct Answer is C

Explanation

A. Vitamin A Deficiency:
Symptoms: Enlarged tongue and smooth, beefy red appearance.
Relevance: Vitamin A deficiency is not typically associated with an enlarged tongue. It is more commonly linked to night blindness and skin issues.

B. Folic Acid Deficiency:
Symptoms: Enlarged tongue and smooth, beefy red appearance.
Relevance: Folic acid deficiency can lead to megaloblastic anemia and glossitis (inflammation of the tongue), which may present as an enlarged, smooth, and red tongue.

C. Vitamin B12 Deficiency:
Symptoms: Enlarged tongue and smooth, beefy red appearance.
Relevance: Vitamin B12 deficiency can cause pernicious anemia and glossitis, resulting in an enlarged, smooth, and red tongue.

D. Vitamin C Deficiency:
Symptoms: Not typically associated with an enlarged tongue.
Relevance: Vitamin C deficiency is more commonly associated with symptoms like scurvy, which includes bleeding gums, joint pain, and skin issues, but not specifically an enlarged tongue.

A. The need to monitor urine for the presence of albumin B. The relationship between kidney function and blood glucose levels C. The need for frequent eye examinations for clients with diabetes D. The fact that clients with diabetes have an elevated risk of myocardial infarction

Correct Answer is D

Explanation

A. The need to monitor urine for the presence of albumin:
Explanation: Monitoring urine for albumin is more associated with microvascular complications, particularly diabetic nephropathy. When the kidneys are affected, albumin may leak into the urine. This is not a macrovascular complication.

B. The relationship between kidney function and blood glucose levels:
Explanation: The relationship between kidney function and blood glucose levels is important, but it is more directly related to microvascular complications, particularly diabetic nephropathy. High blood glucose levels over time can damage the small blood vessels in the kidneys.

C. The need for frequent eye examinations for clients with diabetes:
Explanation: This is related to microvascular complications, specifically diabetic retinopathy. Changes in the small blood vessels of the retina can lead to vision problems. While important, it's not directly addressing macrovascular complications.

D. The fact that clients with diabetes have an elevated risk of myocardial infarction:
Explanation: This is the correct answer. Macrovascular complications involve large blood vessels and are associated with conditions such as coronary artery disease, which increases the risk of myocardial infarction in individuals with diabetes.

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A nurse is providing education to a client with iron deficiency anemia who has been prescribed iron supplements. What should the nurse include in health education?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse is discussing macrovascular complications of diabetes with a client. The nurse would address what topic during this dialogue?

Correct Answer is D

Explanation

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