Nokea
Which of the following is a potential dietary recommendation for a client with iron-deficiency anemia?
- A. Limit intake of iron-rich foods to prevent iron overload
- B. Focus on consuming foods high in vitamin C to enhance iron absorption
- C. Avoid foods high in iron such as leafy greens and legumes
- D. Increase intake of iron-rich foods such as red meat and spinach
Correct Answer: B,D
Rationale: The correct answers are B and D. Answer B suggests focusing on consuming foods high in vitamin C to enhance iron absorption. Vitamin C helps increase the absorption of non-heme iron found in plant-based foods, which is important for individuals with iron-deficiency anemia. Answer D recommends increasing intake of iron-rich foods such as red meat and spinach. Red meat contains heme iron, which is more easily absorbed by the body compared to non-heme iron. Therefore, including both vitamin C-rich foods and heme iron sources in the diet can help improve iron levels in individuals with iron-deficiency anemia.
Incorrect choices:
A: Limiting intake of iron-rich foods would not be advisable for someone with iron-deficiency anemia.
C: Avoiding foods high in iron would worsen the condition of iron-deficiency anemia.
E, F, G: No information provided.
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A nurse is assessing a child. The nurse should identify which of the following findings puts the child at risk for the development of conduct disorder?
- A. The child was not promoted to the next grade.
- B. The child moved to three new homes over a two-year period.
- C. The child's best friend was absent from the child's birthday party.
- D. The child has been raised by a parent who has recurrent major depressive disorder.
Correct Answer: D
Rationale: The correct answer is D, as a child raised by a parent with major depressive disorder is at risk for conduct disorder due to the potential lack of emotional support, inconsistent parenting, and exposure to negative behaviors. This can lead to the child developing conduct issues. Choices A, B, and C do not directly correlate with the development of conduct disorder as they do not involve a significant risk factor like living with a parent with major depressive disorder.
A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspects which of the following types of anemia?
- A. Pernicious anemia
- B. Folic acid deficiency anemia
- C. Iron deficiency anemia
- D. Sickle cell anemia
Correct Answer: C
Rationale: The correct answer is C: Iron deficiency anemia. The client's low hemoglobin and hematocrit levels indicate a decrease in red blood cells, which is characteristic of anemia. Iron deficiency anemia is the most common type of anemia, typically caused by inadequate iron intake or absorption, leading to decreased production of hemoglobin. This results in symptoms like weakness, fatigue, and heavy menstrual periods, as seen in the client. Pernicious anemia (A) is due to vitamin B12 deficiency, not iron. Folic acid deficiency anemia (B) presents with similar symptoms but typically has normal iron levels. Sickle cell anemia (D) is a genetic disorder causing abnormal hemoglobin production, not related to iron deficiency.
When providing community healthcare teaching regarding the early warning signs of Alzheimer's disease,which signs should the nurse advise family members to report? (Select all that apply.)
- A. Becoming lost in a usually familiar environment.
- B. Difficulty performing familiar tasks.
- C. Losing sense of time.
- D. Misplacing car keys.
- E. Problems with performing basic calculations.
Correct Answer: A,B,C,E
Rationale: The correct answers are A, B, C, and E. A: Becoming lost in a familiar environment can indicate spatial disorientation. B: Difficulty performing familiar tasks may signal cognitive decline. C: Losing sense of time is a common early sign of Alzheimer's. E: Problems with basic calculations indicate cognitive impairment. Incorrect answers: D: Misplacing car keys is more indicative of normal forgetfulness. F and G: Not applicable. In summary, the correct choices focus on cognitive and spatial changes, while the incorrect choices are more related to normal memory lapses.
A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After orienting the client to his room,which of the following nursing actions is most therapeutic at this time?
- A. Have the client join a therapy group.
- B. Remain with the client in his room for a while.
- C. Suggest that the client rest in bed.
- D. Medicate the client with a sedative.
Correct Answer: B
Rationale: The correct answer is B: Remain with the client in his room for a while. This is the most therapeutic action because it provides immediate support and comfort to the client experiencing panic-level anxiety. By staying with the client, the nurse can offer reassurance, help calm the client, and establish a sense of safety and trust. This supportive presence can help the client feel less overwhelmed and reduce feelings of isolation. It also allows the nurse to monitor the client closely for any changes in anxiety levels or behaviors.
Choices A, C, and D are incorrect:
A: Having the client join a therapy group may be overwhelming for someone experiencing panic-level anxiety and may not provide the immediate one-on-one support needed.
C: Suggesting that the client rest in bed does not address the client's emotional needs or provide the necessary support for managing anxiety.
D: Medicating the client with a sedative should not be the first-line intervention for panic-level anxiety as it may mask underlying issues and does not address
Claudette, the nurse, is conducting group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive communication
- A. I feel angry when you leave me.
- B. I wish you would not make me angry.
- C. It makes me angry when you interrupt me.
- D. You'd better listen to me.
Correct Answer: D
Rationale: The correct answer is D because it is an example of aggressive communication. The statement "You'd better listen to me" is forceful, directive, and implies a threat if the listener does not comply. This type of communication lacks respect for the other person's feelings and boundaries. In contrast, choices A, B, and C express personal feelings and thoughts without being demanding or confrontational. Choice A uses "I feel" to express emotions, choice B expresses a wish without placing blame, and choice C explains a reaction to a specific behavior without being forceful. Therefore, D stands out as the only example of aggressive communication in the given options.