A nurse is providing teaching about dietary recommendations to a client who has iron deficiency anemia. Which of the following dietary recommendations should the nurse include as a food that enhances iron absorption when consumed with nonheme iron?

Tea

Dried beans

Milk

Tomato juice

Answer and Explanation

The Correct Answer is D

Choice A reason: Tea

Tea contains polyphenols and tannins, which can inhibit the absorption of nonheme iron. Therefore, it is not recommended to consume tea with iron-rich foods if the goal is to enhance iron absorption.

Choice B reason: Dried beans

Dried beans are a good source of nonheme iron, but they do not enhance its absorption. In fact, beans contain phytates, which can inhibit iron absorption. While they are beneficial for iron intake, they should be consumed with foods that enhance iron absorption, such as those rich in vitamin C.

Choice C reason: Milk

Milk contains calcium, which can inhibit the absorption of both heme and nonheme iron. Therefore, it is not recommended to consume milk with iron-rich foods if the goal is to enhance iron absorption.

Choice D reason: Tomato juice

Tomato juice is rich in vitamin C, which significantly enhances the absorption of nonheme iron. Consuming vitamin C-rich foods like tomato juice with iron-rich foods can improve the body’s ability to absorb iron, making it an excellent choice for individuals with iron deficiency anemia.

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Correct Answer is B

Explanation

Choice A reason: Babinski’s sign

Babinski’s sign is a reflex action where the big toe moves upward or toward the top surface of the foot and the other toes fan out when the sole of the foot is stimulated. This sign is used to assess neurological function, particularly in the context of central nervous system disorders. It is not related to hypocalcemia, which is the likely cause of the tingling sensation in this scenario.

Choice B reason: Chvostek’s sign

Chvostek’s sign is a clinical indicator of hypocalcemia. It is elicited by tapping the facial nerve at the angle of the jaw, which causes twitching of the facial muscles. Hypocalcemia is a common complication following thyroidectomy due to potential damage or removal of the parathyroid glands, which regulate calcium levels. The tingling sensation reported by the client is a classic symptom of hypocalcemia, making Chvostek’s sign the most relevant assessment.

Choice C reason: Brudzinski’s sign

Brudzinski’s sign is used to assess for meningitis. It involves flexing the client’s neck and observing for involuntary flexion of the hips and knees. This sign is not related to hypocalcemia or the symptoms described by the client following thyroidectomy.

Choice D reason: Kernig’s sign

Kernig’s sign is another test for meningitis. It involves flexing the client’s hip and knee, then straightening the knee. Pain and resistance to straightening the knee indicate a positive Kernig’s sign. This sign is not relevant to the assessment of hypocalcemia or the symptoms described by the client.

A. Temperature 38.2°C (100°F) B. The client reports weakness of the lower extremities. C. The client reports some itching. D. Blood pressure 80/56 mm Hg

Correct Answer is D

Explanation

Choice A reason: Temperature 38.2°C (100°F)

A temperature of 38.2°C (100°F) is slightly elevated and could indicate an infection or other inflammatory response. However, it is not immediately life-threatening and does not require urgent intervention compared to other symptoms. Monitoring and further assessment are necessary, but it is not the highest priority.

Choice B reason: The client reports weakness of the lower extremities

Weakness of the lower extremities can be a side effect of epidural analgesia. While it is concerning and requires monitoring, it is not as immediately critical as severe hypotension. The nurse should assess the extent of the weakness and ensure the client’s safety, but it is not the top priority.

Choice C reason: The client reports some itching

Itching is a common side effect of opioid analgesia and, while uncomfortable, it is not dangerous. It can be managed with antihistamines or other medications. This symptom does not require urgent intervention and is not the highest priority.

Choice D reason: Blood pressure 80/56 mm Hg

A blood pressure of 80/56 mm Hg indicates significant hypotension, which can be life-threatening for both the mother and the fetus. Hypotension can lead to decreased perfusion to vital organs and the placenta, potentially causing fetal distress. Immediate intervention is required to stabilize the client’s blood pressure and ensure adequate blood flow to the fetus. This makes it the highest priority for the nurse to address.

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A nurse is providing teaching about dietary recommendations to a client who has iron deficiency anemia. Which of the following dietary recommendations should the nurse include as a food that enhances iron absorption when consumed with nonheme iron?

Nursing Test Bank

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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