The nurse is evaluating a client's understanding of dietary needs following a dietary consult that covered home management of dietary deficiency anemia. Which statement by the client would indicate a need for additional teaching?
1. "I will eat more fruits and vegetables, especially green, leafy ones, to get more B12 in my diet.".
2. "I will take vitamins with extra iron in addition to eating a balanced diet with meat to correct my anemia.".
3. "I will add food high in vitamin C to improve my absorption of iron in both my vitamins.".
4. "I will need to include more protein foods in my diet such as meats, dried beans, and whole-grain breads.".
1. "I will eat more fruits and vegetables, especially green, leafy ones, to get more B12 in my diet.".
Rationale:
"I will eat more fruits, vegetables, especially green, leafy ones, to get more B12 in my diet" is incorrect; it indicates that the client does need additional teaching for better home management: Adding B12 to the diet (more fruits and vegetables, especially green, leafy ones) will not correct the dietary deficiency anemia. The lack of iron is the problem that needs to be addressed. Extra iron is needed to help replace RBCs and treat the dietary deficiency anemia. "I will take vitamins with extra iron in addition to eating a balanced diet with meat to correct my anemia" is incorrect because it indicates that the client does not require additional teaching "I will add food high in vitamin C to improve my absorption of iron in both my vitamins" is incorrect, because it indicates that the client does not require additional teaching. Vitamin C will increase the absorption of iron and help the body replace RBCs from dietary deficiency anemia. "I will need to include more protein foods in my diet such as meats, dried beans, and whole-grain breads" is incorrect, because it indicates that the client does not require additional teaching. Protein foods such as meats, dried beans, and whole-grain breads do contain iron that will help dietary deficiency anemia.
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