A patient diagnosed with Iron deficiency has been instructed to eat iron-rich food, what statement indicates understanding by the patient?

"I will eat leafy green vegetables.".

"I will take calcium supplements.".

"I will consume two glasses of prune juice daily.".

"I will consume raw sushi.".

Answer and Explanation

The Correct Answer is A

Choice A reason:

Eating leafy green vegetables is a good way to increase iron intake, as they are rich in iron and other nutrients. Iron is needed to produce hemoglobin, the protein that carries oxygen in red blood cells. Iron deficiency anemia occurs when there is not enough iron to make hemoglobin, resulting in low red blood cell count and low oxygen delivery to the tissues.

Leafy green vegetables such as broccoli, kale, turnip greens, and collard greens are among the best sources of iron from plants.

Choice B reason:

Taking calcium supplements is not helpful for iron deficiency anemia, as calcium can interfere with iron absorption. Calcium binds to iron in the intestine and prevents it from being absorbed into the bloodstream. Therefore, calcium supplements should not be taken at the same time as iron supplements or iron-rich foods. Calcium is important for bone health, but it does not affect hemoglobin production or red blood cell count.

Choice C reason:

Consuming two glasses of prune juice daily is not advisable for iron deficiency anemia, as prune juice has a laxative effect and can cause diarrhea. Diarrhea can lead to dehydration and loss of nutrients, including iron. Prune juice also contains oxalates, which are compounds that can reduce iron absorption by forming insoluble complexes with iron in the intestine. Prune juice does contain some iron, but not enough to compensate for its negative effects on iron status.

Choice D reason:

Consuming raw sushi is not recommended for iron deficiency anemia, as raw fish can contain parasites or bacteria that can cause infections. Infections can increase inflammation and blood loss, which can worsen iron deficiency anemia. Raw fish also contains phytates, which are substances that can inhibit iron absorption by binding to iron in the intestine. Raw fish does provide some iron, but it is not a reliable or safe source of iron for people with iron deficiency anemia. : Iron deficiency anemia - Diagnosis & treatment - Mayo Clinic. : Iron- Deficiency Anemia - Hematology.org.

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Correct Answer is C

Explanation

Choice A reason:

Transferring the newborn to the NICU is not the best action to take next, because it does not address the immediate problem of low blood sugar. The newborn may need to be transferred to the NICU later, depending on the cause and severity of the hypoglycemia, but the first priority is to raise the blood glucose level.

Choice B reason:

Calling the lab for a STAT blood glucose level is not the best action to take next, because it will delay the treatment of hypoglycemia. The glucometer reading is a reliable indicator of low blood sugar, and waiting for a lab confirmation will waste valuable time. The nurse should act on the glucometer reading and initiate treatment as soon as possible.

Choice C reason:

Initiating breastfeeding is the best action to take next, because it will provide the newborn with a source of glucose that can raise the blood sugar level quickly. Breastfeeding also has other benefits for the newborn, such as promoting bonding, providing antibodies, and reducing the risk of infection. Breastfeeding should be initiated within the first hour of life for all newborns, unless contraindicated.

Choice D reason:

Recognizing this as a normal reading and documenting it is not the best action to take next, because it is not a normal reading for a 2 hour old newborn. The normal range of blood glucose for a newborn is 40 to 150 mg/dL. A reading of 32 mg/dL indicates hypoglycemia, which can have serious consequences for the newborn's brain development and function. Hypoglycemia should be treated promptly and documented accordingly.

A. "My baby will be placed under special lights if the test is elevated.". B. "This test checks for a genetic disorder that can be corrected by diet.". C. "Sometimes the test is repeated in the doctor's office at the 2-week check-up.". D. "My baby must take formula or breast milk before the test is done.".

Correct Answer is D

Explanation

Choice A reason:

This statement is incorrect because special lights are used to treat jaundice, not PKU. Jaundice is a condition that causes yellowing of the skin and eyes due to high levels of bilirubin in the blood. Bilirubin is a waste product that is normally removed by the liver. Special lights help break down bilirubin so that it can be excreted from the body.

Choice B reason:

This statement is correct because PKU is a genetic disorder that can be corrected by diet. PKU is caused by a lack of an enzyme that breaks down phenylalanine, an amino acid found in protein-rich foods. Phenylalanine can build up in the blood and cause brain damage and other health problems if not treated. A diet that is low in phenylalanine and high in a special formula can prevent these complications.

Choice C reason:

This statement is correct because sometimes the test is repeated in the doctor's office at the 2-week check-up. The PKU test is done one to three days after birth, but it may not be accurate if the baby has not had enough protein in their diet before the test. A repeat test may be needed to confirm or rule out PKU.

Choice D reason:

This statement is incorrect because the baby must take formula or breast milk after the test is done, not before. The test measures the level of phenylalanine in the blood, which will be higher if the baby has eaten protein-rich foods. The test should be done after the baby has fasted for at least two hours.

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A patient diagnosed with Iron deficiency has been instructed to eat iron-rich food, what statement indicates understanding by the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse checks the blood sugar of a 2 hour old newborn, and the glucometer reading is 32 mg/dl. Which action should the nurse take next?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about phenylketonuria (PKU) testing with the parent of a newborn. Which of the following statements by the parent indicates a need for further teaching?

Correct Answer is D

Explanation

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