A nurse is providing prenatal teaching about iron to a client who follows a vegetarian diet. The nurse should recommend that the client consume which of the following foods to enhance the absorption of nonheme iron?

Boiled eggs

Orange slices

Cheddar cheese

Mixed nuts

Answer and Explanation

The Correct Answer is B

Rationale:

A. Boiled eggs: While eggs contain some iron, they are not known to enhance the absorption of nonheme iron. In fact, certain components in eggs may inhibit iron absorption from plant-based sources.

B. Orange slices: Vitamin C (ascorbic acid) found in citrus fruits like oranges significantly enhances the absorption of nonheme iron by reducing it to a more absorbable form. This makes orange slices an ideal complement to iron-rich plant foods.

C. Cheddar cheese: Dairy products like cheese are low in iron and contain calcium, which can actually compete with iron for absorption in the intestines, reducing its bioavailability rather than enhancing it.

D. Mixed nuts: Although nuts contain some iron, they are also high in phytates, which can inhibit iron absorption. They do not actively enhance nonheme iron uptake and are not the best dietary pairing for this purpose.

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Correct Answer is C

Explanation

Rationale:

A. Instruct the client to be NPO for six hours prior to the procedure: Amniocentesis is typically done under local anesthesia and does not require sedation or general anesthesia, so there is no need for the client to be NPO beforehand.

B. Instruct the client to maintain a full bladder for the procedure: A full bladder is required during early pregnancy to help lift the uterus for better visualization. However, at 22 weeks gestation, the uterus is already an abdominal organ, and a full bladder is not necessary.

C. Monitor the fetal heart rate prior to the procedure: Monitoring the fetal heart rate before an amniocentesis is essential to establish a baseline and ensure fetal well-being. It also aids in identifying any immediate changes following the procedure.

D. Place the client in Trendelenburg position during the procedure: The Trendelenburg position is not appropriate for amniocentesis. The client is typically placed in a supine or slightly tilted position to allow proper access to the uterus and avoid vena cava compression.

A. Perform the Credés maneuver. B. Maintain the irrigation solution rate. C. Replace the indwelling urinary catheter. D. Warm the irrigation solution.

Correct Answer is B

Explanation

Rationale:

A. Perform the Credé’s maneuver: This manual technique is used to assist bladder emptying in clients with urinary retention due to neurogenic bladder. It is not appropriate or necessary when continuous bladder irrigation is in place and the catheter is draining.

B. Maintain the irrigation solution rate: Pink-tinged urine is expected during the early postoperative period following TURP, indicating mild bleeding. There is no need to adjust the irrigation rate unless there are signs of obstruction or bright red bleeding with clots.

C. Replace the indwelling urinary catheter: Catheter replacement is only necessary if there is a blockage or malfunction. In this case, the system appears to be functioning correctly, and there’s no indication of obstruction.

D. Warm the irrigation solution: Warming the irrigation fluid is not required and does not affect hematuria. The solution should be at room temperature unless otherwise prescribed. Hematuria at this stage is managed by monitoring, not fluid temperature changes.

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A nurse is providing prenatal teaching about iron to a client who follows a vegetarian diet. The nurse should recommend that the client consume which of the following foods to enhance the absorption of nonheme iron?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care prior to an amniocentesis for a client who is at 22 weeks of gestation. Which of the following actions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hr ago. The nurse notes pink-tinged urine in the drainage bag. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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