Nokea
The nurse is discussing dietary sources of iron with a client who has iron deficiency anemia. Which menu, if selected by the client, indicates the best understanding of the diet?
- A. Milkshake, hot dog, and beets
- B. Beef steak, spinach, and grape juice
- C. Chicken salad, green peas, and coffee
- D. Macaroni and cheese, coleslaw, and lemonade
Correct Answer: B
Rationale: Beef, spinach, and grape juice contain iron. Milk contains no iron, and the other options have lower iron content.
You may also like to solve these questions
The nurse is caring for a client in a sickle cell crisis. Which is the pain regimen of choice to relieve the pain?
- A. Frequent aspirin (acetylsalicylic acid) and a nonnarcotic analgesic.
- B. Motrin (ibuprofen), a nonsteroidal anti-inflammatory drug (NSAID), prn.
- C. Demerol (meperidine), a narcotic analgesic, every four (4) hours.
- D. Morphine, a narcotic analgesic, every two (2) to three (3) hours prn.
Correct Answer: D
Rationale: Morphine PRN (D) is preferred for severe SCA crisis pain, titrated to relief. Aspirin (A) and ibuprofen (B) are insufficient and risk bleeding, and meperidine (C) risks seizures.
The nurse is assessing a client diagnosed with vaso-occlusive crisis. Which indicates the client is not meeting an appropriate stage of growth and development according to Erikson?
- A. The 32-year-old client does not have a significant other and is on disability.
- B. The 28-year-old client is actively involved in the care of a six (6)-year-old child.
- C. The 40-year-old client has a full-time job and cares for an aged parent.
- D. The 19-year-old client is a full-time college student and has many friends.
Correct Answer: A
Rationale: At 32 (Intimacy vs. Isolation), lack of a significant other and disability (A) suggest isolation, not meeting Erikson’s stage. Parenting (B), caregiving (C), and socializing (D) align with Generativity, Generativity, and Identity stages.
The charge nurse in the intensive care unit is making client assignments. Which client should the charge nurse assign to the graduate nurse who has just finished the three (3)-month orientation?
- A. The client with an abdominal peritoneal resection who has a colostomy.
- B. The client diagnosed with pneumonia who has acute respiratory distress syndrome.
- C. The client with a head injury developing disseminated intravascular coagulation.
- D. The client admitted with a gunshot wound who has an H&H of 7 and 22.
Correct Answer: A
Rationale: Colostomy care (A) is stable and suitable for a new graduate. ARDS (B), DIC (C), and severe anemia (D) are critical, requiring experienced care.
Which statement made by the parent of a child newly diagnosed with sickle cell anemia indicates a need for more teaching?
- A. We are going to the mountains for our vacation this year.'
- B. It's a good thing she likes to drink juices.'
- C. If she needs something for pain, I will give her baby acetaminophen.'
- D. I will make sure that she doesn't get chilled when it is cold outside.'
Correct Answer: A
Rationale: High altitudes, like mountains, have lower oxygen levels, which can precipitate a sickle cell crisis, indicating a need for more teaching. Drinking juices, using acetaminophen, and avoiding chills are appropriate.
A child who has hemophilia is admitted to the hospital with a swollen knee joint. He is complaining of severe pain. What is the priority of nursing care for this child upon admission?
- A. Maintain joint function
- B. Use a bed cradle
- C. Administer aspirin as needed for pain
- D. Encourage fluids
Correct Answer: B
Rationale: Using a bed cradle reduces pressure on the swollen, painful joint, prioritizing pain relief and comfort during a bleeding episode.