Nokea
The nurse is providing dietary instructions for a client with iron-deficiency anemia. Which food is a poor source of iron?
- A. Tomatoes
- B. Legumes
- C. Dried fruits
- D. Nuts
Correct Answer: A
Rationale: Tomatoes are a poor source of iron compared to legumes, dried fruits, and nuts, which are rich in iron and recommended for iron-deficiency anemia.
You may also like to solve these questions
The nurse is observing a student nurse administering ear drops to a 2-year-old. Which observation by the nurse would indicate correct technique?
- A. Holds the child's head up and extended
- B. Places the head in chin-tuck position
- C. Pulls the pinna down and back
- D. Irrigates the ear before administering medication
Correct Answer: C
Rationale: For children under 3, pulling the pinna down and back straightens the ear canal for proper ear drop administration.
The nurse is working with a client in the psychiatric unit. The client has memory gaps, which she fills in with detailed fantasies that she believes to be true. The nurse understands that the client is exhibiting which type of abnormal thought process?
- A. Delusion
- B. Confabulation
- C. Tangentiality
- D. Flight of ideas
Correct Answer: B
Rationale: Confabulation involves filling memory gaps with fabricated details believed to be true, common in certain psychiatric or neurological conditions.
The nurse is caring for a client who is receiving magnesium sulfate for severe preeclampsia. Which of the following findings would indicate magnesium toxicity?
- A. Respiratory rate of 18 breaths per minute.
- B. Deep tendon reflexes absent.
- C. Urine output of 50 mL/hour.
- D. Blood pressure of 140/90 mmHg.
Correct Answer: B
Rationale: absent deep tendon reflexes are a sign of magnesium toxicity, requiring immediate intervention
A client visits the clinic after the death of a parent. Which statement made by the client's sister signifies abnormal grieving?
- A. My sister still has episodes of crying, and it's been three months since Daddy died.
- B. Sally seems to have forgotten the bad things that Daddy did in his lifetime.
- C. She really had a hard time after Daddy's funeral. She said that she had a sense of longing.
- D. She has not been saddened at all by Daddy's death. She acts like nothing has happened.
Correct Answer: D
Rationale: Denial of grief, as indicated by acting like nothing has happened, suggests abnormal grieving, as it may reflect an inability to process the loss.
The most appropriate means of rehydration of a 7-month-old with diarrhea and mild dehydration is:
- A. Oral rehydration therapy with an electrolyte solution
- B. Replacing milk-based formula with a lactose-free formula
- C. Administering intraveneous Dextrose 5% 1/4 normal saline
- D. Offering bananas, rice, and applesauce along with oral fluids
Correct Answer: A
Rationale: Oral rehydration therapy with electrolyte solutions is the standard for mild dehydration in infants, as it effectively restores fluid and electrolyte balance.