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The healthcare provider gives a pregnant woman a prescription for one prenatal vitamin with iron daily, and tells her that she needs to increase iron-rich foods in her diet because her hemoglobin is 8.2 g/dL or 5.09 mmol/L. When a list of iron-rich foods is given to the client, she tells the practical nurse (PN) that she is a vegetarian and does not eat anything that "bleeds.”. Which instruction should the PN provide? (Select all that apply.).

Oatmeal is a good choice for breakfast.

Eat red meat just until the anemia is resolved.

Add lentils and black beans to soups.

Increase green leafy vegetables in the diet.

Answer and Explanation

Correct Answer : A,C,D

The correct answers are:

A. Oatmeal is a good choice for breakfast.

C. Add lentils and black beans to soups.

D. Increase green leafy vegetables in the diet. Choice A rationale:

Oatmeal is a good choice for breakfast because it is a vegetarian option that is rich in iron. It contains non-heme iron, which is the type of iron found in plant-based foods. Non-heme iron may not be as easily absorbed as heme iron (found in animal products), but it can still contribute to increasing iron levels in the body, especially when combined with other sources of iron.

Choice B rationale:

Eat red meat just until the anemia is resolved is not a suitable instruction for a vegetarian client. Red meat is a source of heme iron, which is not part of a vegetarian diet. While heme iron is more easily absorbed by the body, there are other plant-based sources of iron that can be recommended to the client without compromising their dietary preferences.

Choice C rationale:

Lentils and black beans are excellent choices for a vegetarian client to increase iron intake. Both foods are rich in iron, and they also contain other nutrients that aid in iron absorption, such as vitamin C. Including lentils and black beans in soups can be a tasty and nutritious way to enhance iron intake.

Choice D rationale:

Increasing green leafy vegetables in the diet is another appropriate recommendation for a vegetarian client. Green leafy vegetables, such as spinach and kale, contain non-heme iron, as well as other essential vitamins and minerals that contribute to overall health. Combining them with vitamin C-rich foods can enhance iron absorption.

Choice E rationale:

Take two prenatal vitamins with iron daily is not necessary since the healthcare provider already prescribed one prenatal vitamin with iron daily. Taking additional supplements without medical advice can lead to an excessive intake of certain nutrients, which may have adverse effects on health.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

The correct answer is choice B. Attach the drainage bag to the bed frame.

Choice A rationale:

Measuring the urinary output in the bag is a routine task but does not address the improper placement of the drainage bag. The immediate concern is to ensure the drainage bag is correctly positioned to prevent complications.

Choice B rationale:

Attaching the drainage bag to the bed frame is the correct action. The drainage bag should be kept below the level of the bladder and attached to a non-movable part of the bed to prevent backflow and reduce the risk of infection.

Choice C rationale:

Applying gloves and emptying the drainage bag is not the immediate priority. The drainage bag should not be allowed to overfill, but in this scenario, it is only half-full, so this action is not urgent.

Choice D rationale:

Removing the looped tubing from the bed is important to ensure proper drainage and prevent backflow, but it does not address the incorrect placement of the drainage bag, which is the primary concern in this situation.

A. Teach the client to use a straw when taking the medication to reduce further tooth staining. B. Reassure the client that this change indicates the medication is having the desired effect. C. Determine if the client is also experiencing mouth or gum pain and difficulty swallowing D. Advise the client to withhold further doses until consulting with the healthcare provider.

Correct Answer is A

Explanation

The correct answer is choicea. Teach the client to use a straw when taking the medication to reduce further tooth staining.

Choice A rationale:

Using a straw when taking liquid iron preparations helps minimize contact with the teeth, thereby reducing the risk of staining.

Choice B rationale:

While tooth discoloration can indicate that the iron is being absorbed, it is not a desired effect and should be managed to prevent cosmetic concerns.

Choice C rationale:

Assessing for mouth or gum pain and difficulty swallowing is important but not directly related to the issue of tooth staining.

Choice D rationale:

Advising the client to withhold doses without consulting a healthcare provider could lead to non-compliance and inadequate treatment of iron deficiency.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A female client taking a liquid iron preparation expresses concern that her tooth color has darkened since starting the medication. Which action should the practical nurse (PN) implement?

Correct Answer is A

Explanation

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The practical nurse (PN) is preparing for shift change. Which task has the highest priority and should be completed first?