The client with b-thalassemia intermedia has a hemoglobin level of 9.0. The nurse is preparing an education session for the client. 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 supplements should be avoided to prevent iron overload.
2. Because the iron levels are normal, increasing dietary iron intake will not affect the hemoglobin.
3. Vitamin C increases iron absorption, but a client with thalassemia does not need additional iron.
4. B-thalassemia intermedia is due to an abnormal red blood cell structure, which leads to microcytic anemia with normal ferritin and iron levels.

Nursing

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The nurse is instructing the unlicensed assistive personnel (UAP) on positioning the client in the Fowler's position. Which statement by the UAP indicates appropriate understanding of Fowler's position?

1. "I will put the client's head completely flat." 2. "I will elevate the client's head." 3. "I will only raise the head of the bed 30 °." 4. "I will place the bed in the Trendelenburg position."

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Of adolescents who become pregnant, what percentage have had a previous birth?

a. 10% b. 15% c. 19% d. 35%

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During the "fight or flight" response, the body mobilizes stores of:

1. Fat to produce fuel. 2. Glucose to provide amino acids. 3. Muscle tissue to provide essential vitamins and minerals. 4. Protein to provide reactant proteins.

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Which assessment finding would lead the nurse to suspect infection as the cause of a client's PROM?

A) Yellow-green fluid B) Blue color on Nitrazine testing C) Ferning D) Foul odor

Nursing