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Clients with ulcerative colitis are not typically advised to restrict dietary iron. In fact, they are often encouraged to consume iron-rich foods or take supplements if anemia develops. Therefore, dietary restrictions are not a contributing factor.

Intestinal malabsorption is more commonly associated with conditions like celiac disease or Crohn’s disease, where the small intestine is affected. Ulcerative colitis primarily involves the colon, which is not a major site for nutrient absorption, so malabsorption is unlikely to cause anemia in this case.

Intestinal parasites can cause anemia through blood loss or nutrient competition, but they are not characteristic of ulcerative colitis. Their presence would indicate a separate condition, not a manifestation of colitis.

Olives are not a significant source of folate. They are mainly composed of healthy fats and provide small amounts of vitamin E but do not help treat folate deficiency anemia.

Roast beef provides iron and vitamin B12 but is low in folate. It may help in certain types of anemia (like pernicious anemia) but not in folic acid deficiency anemia.

Part-skim mozzarella cheese is high in protein and calcium but not in folate. Dairy products generally contain minimal folic acid and would not contribute significantly to improving folate levels.

Dizziness can occur for many reasons such as dehydration, low blood pressure, or medication side effects, but it is not a primary indicator of infection in a client with neutropenia.

Fatigue is a common symptom of anemia, treatment effects (such as chemotherapy), or overall illness, but it is nonspecific and does not necessarily indicate infection.

Weight loss is a gradual symptom that can result from chronic illness or poor nutrition but does not indicate an acute infection.

Soft-boiled eggs are not safe for a client with neutropenia because undercooked or raw eggs may contain Salmonella or other bacteria. Clients with weakened immune systems should only eat fully cooked eggs to reduce infection risk.

Salad bars can expose clients to bacteria due to improper food handling or temperature maintenance. Fresh produce at salad bars may also be contaminated, making them unsafe for immunocompromised individuals.

Buffets pose a high risk of foodborne illness from cross-contamination or prolonged exposure of food at unsafe temperatures. Clients with neutropenia should avoid eating food that has been sitting out or handled by multiple people.

Although expressing empathy is important, sharing personal experiences (“I was a smoker also”) shifts focus from the client to the nurse and may make the client feel minimized or judged. Professional boundaries must be maintained.

Saying “Don’t worry” dismisses the client’s feelings and provides false reassurance. It prevents the client from discussing genuine fears and does not promote emotional healing or coping.

Assuring the client about the surgeon’s skill also offers false reassurance. While intended to comfort, it minimizes the client’s anxiety and does not encourage discussion of their emotions or concerns.

Administering one large daily dose of iron is not recommended. Dividing the total daily dose into smaller doses helps improve absorption and reduces gastrointestinal side effects such as constipation, nausea, or stomach upset.

Administering iron with meals decreases its absorption because certain foods—especially dairy products, tea, coffee, and high-fiber foods—bind with iron and reduce its bioavailability. Iron is best absorbed on an empty stomach or with a source of vitamin C (e.g., orange juice) to enhance absorption.

Restricting fiber is unnecessary and could lead to constipation, which is already a common side effect of iron therapy. A balanced diet with adequate fluids and fiber helps prevent constipation and supports overall digestive health.

Telling the client not to use nontraditional treatments is a non-therapeutic and directive response. It may make the client feel dismissed or judged, which could harm rapport and discourage further communication.

Saying that the provider knows best shifts focus away from the client’s autonomy and feelings. It dismisses the client’s concerns and prevents collaborative discussion about treatment preferences.

Warning the client about others’ experiences is judgmental and instills fear rather than understanding. It may make the client defensive and close off communication with the nurse.

Starting iron supplementation immediately is premature before determining the cause of anemia. While iron deficiency can result from chronic blood loss, supplementation should only begin after confirming the source and type of anemia to avoid masking underlying issues or giving unnecessary treatment.

Administering vitamin B12 injections is appropriate for pernicious anemia or B12 deficiency but not for anemia due to gastrointestinal bleeding. This would not address the patient’s current problem.

Encouraging increased dietary intake of iron-rich foods supports long-term management of iron deficiency but is not the priority in the acute phase. The immediate goal is to determine if active bleeding is present and to prevent further blood loss.

Upholding a code of ethics reflects professional responsibility and integrity but does not specifically demonstrate compassion, which focuses on empathetic care toward the client.

Collaborating with other health professionals ensures coordinated and effective care, but it emphasizes teamwork and clinical efficiency rather than the emotional and empathetic aspect of compassion.

Incorporating scientific knowledge supports evidence-based practice and skillful care but does not inherently reflect the emotional connection and empathy central to compassion.