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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Administer a test dose first
Administering a test dose is not typically required for theophylline. Theophylline dosing is usually based on the patient’s weight and serum theophylline levels. A test dose is more commonly associated with medications that have a high risk of allergic reactions or require desensitization protocols, which is not the case with theophylline.
Choice B reason: Infuse the medication with an IV pump
Using an IV pump to infuse theophylline is essential to ensure accurate and controlled delivery of the medication. Theophylline has a narrow therapeutic range, and precise dosing is crucial to avoid toxicity. An IV pump allows for consistent infusion rates, reducing the risk of adverse effects. This is the most appropriate action for the nurse to take.
Choice C reason: Cover the IV container with dark paper
There is no need to cover the IV container with dark paper when administering theophylline. Theophylline is not light-sensitive, so this precaution is unnecessary. Covering IV containers is typically done for medications that degrade when exposed to light, such as certain antibiotics and chemotherapy agents.
Choice D reason: Infuse the medication at 35 mg/min
Infusing theophylline at a rate of 35 mg/min is excessively high and could lead to severe toxicity. The infusion rate for theophylline should be carefully calculated based on the patient’s weight and serum levels, and it is typically much lower than 35 mg/min. Rapid infusion can cause serious side effects, including arrhythmias and seizures.
Correct Answer is D
Explanation
Choice A reason:
Erythromycin is a macrolide antibiotic and is generally considered safe for patients with a penicillin allergy. It does not share the beta-lactam ring structure that is responsible for cross-reactivity in penicillin-allergic patients.
Choice B reason:
Gentamicin is an aminoglycoside antibiotic and is also safe for patients with a penicillin allergy. It does not have the beta-lactam ring structure and therefore does not pose a risk of cross-reactivity.
Choice C reason:
Amphotericin B is an antifungal medication and is not related to penicillin. It is safe for use in patients with a penicillin allergy as it does not share any structural similarities with penicillin.
Choice D reason:
Amoxicillin-clavulanate is a combination of a penicillin antibiotic (amoxicillin) and a beta-lactamase inhibitor (clavulanate). Since it contains amoxicillin, it should not be given to patients with a penicillin allergy due to the risk of an allergic reaction.
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