The patient with -thalassemia intermedia has a hemoglobin level of 9.0. The nurse is preparing an education session for the patient. Which statement should the nurse include?
1. "You need to increase your intake of meat and other iron-rich foods."
2. "Your low hemoglobin could put you into preterm labor."
3. "Increasing your vitamin C intake will help your hemoglobin level."
4. "You should not take iron or folic acid supplements."
4
Rationale 1: Iron-rich foods and supplementation should be avoided to prevent iron overload.
Rationale 2: Because the patient's iron levels are normal, increasing dietary iron will not affect the hemoglobin.
Rationale 3: Vitamin C increases iron absorption, but a patient with thalassemia does not need additional iron.
Rationale 4: -thalassemia intermedia is due to an abnormal red blood cell structure, which leads to microcytic anemia with normal ferritin and iron levels.
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Which of the following best explains why more nurses do not report violence against themselves to authorities?
a. Assumption that the nurse somehow "asked for it" by not being cautious enough or alert enough to avoid it b. Assumption that nothing would be done about the situation anyway c. Assumption that nurses can accept anything, from taking blame to being scapegoats for when outcomes are not positive d. Assumption that patients and families cannot be held responsible; being assaulted is part of the job
A prescriber has ordered methyldopa for a patient with hypertension. The nurse teaches the patient about drug actions, adverse effects, and the ongoing blood tests necessary with this drug. The nurse is correct to tell the patient what?
a. "If you have a positive Coombs' test re-sult, you will need to discontinue the me-dication, because this means you have hemolytic anemia." b. "Methyldopa can be used for its analgesic effects and for its hypertensive effects." c. "Xerostomia and orthostatic hypotension are serious side effects and indications for withdrawing the medication." d. "You will need to contact the provider and stop taking the medication if your eyes look yellow."
The nurse is collecting data for a health history when the woman says she recently began using a form of alternative healing that frees the energy between body parts, allowing the body to heal itself, by pressing on specific points that run along the
body meridians connecting each side of the body. The nurse recognizes the client is describing: A) massage. B) foot reflexology. C) touch therapy. D) acupressure.
The nurse should do which of the following when using an interpreter to facilitate communication with a client with a language barrier?
1. Direct all questions to the interpreter. 2. Face the client and direct questions to the client. 3. Ensure that family is present to avoid errors in communication. 4. Ask the interpreter to write down all answers.