A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of the following dietary recommendations should the nurse include in the teaching plan?

Milk and turkey slices

Yogurt and mozzarella

Spinach and beef

Fish and cottage cheese

Answer and Explanation

The Correct Answer is C

A.   While milk is a good source of calcium, it is not beneficial for iron absorption. In fact, high calcium intake can inhibit iron absorption. Turkey is a good source of heme iron, which is more easily absorbed by the body compared to non-heme iron (found in plant-based sources). While turkey is beneficial, the combination with milk is not ideal due to the calcium interfering with iron absorption.
B.   Like milk, yogurt is rich in calcium. Calcium can inhibit iron absorption, making yogurt less ideal for improving iron levels if consumed in large amounts with iron-rich foods. This is also a dairy product high in calcium. Combining it with yogurt does not enhance iron absorption and can hinder it.
C.   Spinach is a good source of non-heme iron, though it contains oxalates, which can inhibit iron absorption. However, spinach can still contribute to overall iron intake. Beef is an excellent source of heme iron, which is easily absorbed by the body. Combining beef with spinach can help improve overall iron intake, despite the oxalates in spinach.
D.   Fish, such as salmon or tuna, is a good source of heme iron, which is beneficial for increasing iron levels. Cottage cheese is a dairy product high in calcium, which can inhibit iron absorption if consumed in large amounts.

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Correct Answer is A

Explanation

A. For effective breastfeeding, the baby should latch onto not just the nipple but also a significant portion of the areola and some breast tissue beyond it. This helps ensure that the baby gets a good latch, which promotes better milk transfer and reduces nipple pain for the mother.
B. While babies have some instinctual feeding behaviors, a proper latch typically requires guidance and assistance from the mother or nurse. Newborns often need help to achieve a deep latch that includes both the nipple and areola. Relying solely on the baby's instinct may lead to an ineffective latch and potential issues with breastfeeding.
C. While it's important for the baby to take some of the areola into their mouth, for the best latch, the baby should take in a larger portion of the areola and breast tissue. Simply placing the nipple and some of the areola may not be sufficient for a deep and effective latch.
D. Although newborns have small mouths, a proper latch should still involve the nipple and a good portion of the areola. Assuming that the baby will only take part of the nipple can lead to improper latching and potential breastfeeding difficulties.

A. Two nurses using a friction-reducing device B. One nurse lifting as the client pushes with his feet C. Two nurses lifting the client under the shoulders D. One nurse lifting the client's legs as the client uses a trapeze bar

Correct Answer is A

Explanation

A. Using a friction-reducing device, such as a slide sheet or transfer sheet, is a recommended method for moving clients with partial assistance needs. The device reduces friction, making it easier and safer to reposition or move the client with minimal physical strain. Two nurses working together with a friction- reducing device can effectively and safely move the client while minimizing the risk of injury for both the client and the nurses.
B. This method is not ideal for moving clients who have limited mobility or who are only partially able to assist. Relying on the client to push with their feet while the nurse lifts can be unsafe and ineffective,
especially if the client’s strength or coordination is compromised.
C. Lifting a client under the shoulders can be uncomfortable and potentially harmful for the client, especially if they have limited mobility or if proper body mechanics are not used. This method also places significant strain on the nurses’ backs and may lead to injury.
D. A trapeze bar can be a helpful aid for clients who have some upper body strength and can assist with repositioning. However, relying solely on one nurse to lift the client’s legs while the client uses the trapeze bar may not provide adequate support for a complete and safe repositioning.

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A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of the following dietary recommendations should the nurse include in the teaching plan?

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