Nokea
A client who follows a vegetarian diet was referred to a dietitian for nutritional counseling for anemia. Which client outcome indicates that the client does not understand nutritional counseling? The client:
- A. Adds dried fruit to cereal and baked goods.
- B. Cooks tomato-based foods in iron pots.
- C. Drinks coffee or tea with meals.
- D. Adds vitamin C to all meals.
Correct Answer: C
Rationale: Drinking coffee or tea with meals inhibits iron absorption due to tannins, which bind to iron and reduce its bioavailability. This indicates a lack of understanding of nutritional counseling for anemia, as the client should avoid these beverages during meals. Adding dried fruit (iron source), cooking in iron pots (increases iron content), and consuming vitamin C (enhances iron absorption) are appropriate strategies.
You may also like to solve these questions
A client with rheumatoid arthritis tells the nurse, 'I know it is important to exercise my joints so that I won't lose mobility, but my joints are so stiff and painful that exercising is difficult.' Which of the following responses by the nurse would be most appropriate?
- A. You are probably exercising too much. Decrease your exercise to every other day.'
- B. Tell the physician about your symptoms. Maybe your analgesic medication can be increased.'
- C. Stiffness and pain are part of the disease. Learn to cope by focusing on activities you enjoy.'
- D. Take a warm tub bath or shower before exercising. This may help with your discomfort.'
Correct Answer: D
Rationale: Warm baths or showers can reduce joint stiffness and pain, making exercise more tolerable and effective for maintaining mobility.
A client with acute renal failure is prescribed a low-potassium diet. Which food should be avoided?
- A. Bananas.
- B. Rice.
- C. Apples.
- D. Bread.
Correct Answer: A
Rationale: Bananas are high in potassium, unsuitable for a low-potassium diet.
The nurse is assessing a client with Buerger's disease. The nurse should determine if the client is experiencing:
- A. Thickening of the intima and media of the artery
- B. Inflammation and fibrosis of arteries, veins, and nerves
- C. Vasospasm lasting several minutes
- D. Pain, pallor, and pulselessness
Correct Answer: B
Rationale: Buerger's disease is characterized by inflammation and fibrosis of arteries, veins, and nerves, leading to occlusion and ischemia. This distinguishes it from atherosclerosis (intimal thickening), Raynaud's (vasospasm), or acute arterial occlusion (pain, pallor, pulselessness).
The client is receiving an I.V. infusion of 5% dextrose in normal saline running at 125 mL/hour. When hanging a new bag of fluid, the nurse notes swelling and hardness at the infusion site. The nurse should first:
- A. Discontinue the infusion.
- B. Apply a warm soak to the site.
- C. Stop the flow of solution temporarily.
- D. Irrigate the needle with normal saline.
Correct Answer: A
Rationale: Swelling and hardness indicate infiltration, requiring immediate discontinuation of the infusion to prevent tissue damage.
A client who has been treated for chronic open-angle glaucoma (COAG) for 5 years asks the nurse, 'How does glaucoma damage my eyesight?' The nurse's reply should be based on the knowledge that COAG:
- A. Results from chronic eye inflammation.
- B. Causes increased intraocular pressure.
- C. Leads to detachment of the retina.
- D. Is caused by decreased blood flow to the retina.
Correct Answer: B
Rationale: Chronic open-angle glaucoma causes increased intraocular pressure, which damages the optic nerve over time, leading to vision loss.