Nokea
In order to increase the absorption of iron by a pregnant patient, which beverage should an iron preparation be given with?
- A. Tea
- B. Milk
- C. Coffee
- D. Orange juice
Correct Answer: D
Rationale: To increase iron absorption, it should be taken with Vitamin C. Orange juice is high in Vitamin C, which enhances non-heme iron absorption. Tea and coffee contain tannins that inhibit iron absorption. Milk contains calcium, which can interfere with iron absorption. Therefore, the correct choice is D as it provides the necessary Vitamin C to improve iron absorption.
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The nurse is conducting a prenatal nutrition education class for a group of nursing students. Which statement best describes the condition known as pica?
- A. Iron-deficiency anemia
- B. Intolerance to milk products
- C. Ingestion of nonfood substances
- D. Episodes of anorexia and vomiting
Correct Answer: C
Rationale: The correct answer is C: Ingestion of nonfood substances. Pica is a condition where individuals have a persistent craving to eat items that are not considered food, such as dirt, clay, or ice. This behavior can be seen in pregnant women due to nutritional deficiencies or psychological factors. Choices A, B, and D are incorrect because they do not accurately describe pica. Iron-deficiency anemia (A) is a condition related to low iron levels in the blood, intolerance to milk products (B) is a lactose intolerance issue, and episodes of anorexia and vomiting (D) are symptoms of eating disorders, not pica.
A term multigravida, who is receiving oxytocin for labor augmentation is requesting pain medication. Review of the clients record indication that she was medicated 30 minutes ago with butorphanol (Stadol) 2 mg and promethazine (Phenergan) 25 mg IV push. Vaginal examination reveals that the client cervical dilation is 3 cm, 70% effaced, and at a 0 station. What action should the nurse implement?
- A. Discontinue the Pitocin infusion
- B. Medicate the client with an additional 1 mg of Stadol IV push
- C. Notify the healthcare provider
- D. Instruct the client to use deep breathing during contraction
Correct Answer: D
Rationale: Deep breathing techniques (D) can help manage pain without additional medication.
Which step of the nursing process is being used when the nurse decides whether an ethical dilemma exists?
- A. Analysis
- B. Planning
- C. Evaluation
- D. Assessment
Correct Answer: A
Rationale: Deciding whether an ethical dilemma exists involves analyzing collected data to determine if conflicting values or principles are present.
A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
- A. There is stratification of communication in a directed manner between nursing staff and administration.
- B. There is increased job satisfaction of nurses, with a lower staff turnover rate.
- C. Physicians are certified in their respective specialty areas.
- D. All nurses have baccalaureate degrees and certification in their clinical specialty area.
Correct Answer: B
Rationale: Magnet status hospitals demonstrate higher nurse job satisfaction and lower turnover rates, along with improved quality of care.
The nurse states to the newly pregnant patient, 'Tell me how you feel about being pregnant.' Which communication technique is the nurse using with this patient?
- A. Clarifying
- B. Paraphrasing
- C. Reflection
- D. Structuring
Correct Answer: A
Rationale: The nurse is attempting to follow up and check the accuracy of the patient's message, which is clarifying.