A woman asks her nurse what she can do before she begins trying to get pregnant to help her baby, since she is prone to anemia. The nurse correctly advises her to:
1. Get pregnant, then start iron supplementation.
2. Add more carbohydrates to her diet.
3. Begin taking folic acid supplements daily.
4. Have a hemoglobin baseline done now so her progress can be followed.
3
Rationale 1: Waiting until one is pregnant to add iron or evaluate a diet is not being proactive.
Rationale 2: Adding carbohydrates to her diet will not help to prevent anemia.
Rationale 3: One of the most common problems in pregnancy is anemia. Folic acid–deficiency anemia can increase the incidence of neural tube defects in a fetus. Taking 400 mcg of folic acid daily will help reduce this incidence.
Rationale 4: Having a hemoglobin baseline done will not help the patient prevent anemia in pregnancy.
You might also like to view...
Which of the following infectious agents listed below would be a site-specific pathogen and not spread throughout the body via the circulatory system? A patient diagnosed with
A) B. burgdorferi caused by a tick bite. B) Salmonella typhi related to ingestion of contaminated food or water. C) Helicobacter pylori diagnosed after an endoscopic procedure. D) N. meningitidis infection in a child in a daycare setting.
Which situation best reflects "attrition" in quantitative research?
A) Control and intervention groups are very different in age ranges. B) Subjects receive promotional materials about the benefits of the intervention. C) Adolescent subjects improve in body hygiene practices over 4 years. D) Control group subjects drop out of the study when their disease process does not improve.
A 38-year-old client presents to the clinic office complaining of increased bilateral tenderness of her breasts prior to the onset of menses. On questioning the client, this presentation has occurred off and on for several years,
but the pain has increased. Physical examination reveals lumpy areas bilaterally on the upper outer quadrants of each breast tissue. The areas of concern are approximately 2 cm in size. Based on this assessment, what diagnostic testing would be required? (Select all that apply.) a. Ultrasound examination b. Open biopsy c. Fine-needle aspiration (FNA) biopsy d. CBC with differential e. Mammogram
When the nurse teaches a skill such as self-injection of insulin to the patient, what is the best way to set up the teaching/learning session?
a. Provide written pamphlets for instruction. b. Show a video, and allow the patient to practice as needed on his own. c. Verbally explain the procedure, and pro-vide written handouts for reinforcement. d. After demonstrating the procedure, allow the patient to do several return demonstra-tions.