The nurse is providing nutritional counseling for a postpartum client with a hemoglobin of 8.0. Which statement indicates that additional teaching is necessary?
1. "My iron is low, but it will increase as I take iron supplements."
2. "I need to increase food sources that contain iron."
3. "If I drink lots of milk, I will increase my iron level faster."
4. "I might feel less energetic and tire more easily while my iron is low."
3
Rationale:
1. Iron supplements are indicated with anemia. This client's hemoglobin level is 8.0; lower than 10 is considered anemia during pregnancy. Taking iron will increase hemoglobin.
2. Anemia requires additional iron. Many foods, such as red meat, will provide iron. Increasing iron-rich foods will improve anemia.
3. Milk does not contain iron, it contains calcium. Increased calcium intake will not increase hemoglobin levels. Further, iron should not be taken with milk, as the iron will not be absorbed.
4. Hemoglobin carries oxygen; when the hemoglobin level is low, the muscles are not adequately oxygenated, especially during activity, and fatigue results.
You might also like to view...
The LVN/LPN is preparing to administer insulin to a patient with diabetes. What should the nurse assess prior to administering the insulin?
a. Blood pressure b. Blood glucose c. Heart rate d. Temperature
Virtual Learning Environments (VLEs) are used more in the classroom as a learning tool for nurses. Which of the following statements is accurate about the use of VLEs?
1. VLEs allow learners to practice new skills without fear of harm to themselves or others. 2. VLEs are difficult to navigate in a classroom setting. 3. Faculty members have difficulty creating measurable objectives for its use. 4. VLEs technology intimidates contemporary student nurses.
A patient throws his urinal at the nurse and tells the nurse that he thinks she is terrible at her job. The nurse informs the patient that his behavior is inappropriate. The style of communication that the nurse is demonstrating is
1. Passive. 2. Assertive. 3. Aggressive. 4. Demeaning.
The nurse is monitoring a client taking digoxin (Lanoxin) for treatment of heart failure. Which assessment finding indicates a therapeutic effect of the drug?
a. Heart rate 110 beats per minute b. Heart rate 58 beats per minute c. Urinary output 40 mL/hr d. Blood pressure 90/50 mm Hg