Author Question: The pregnant patient at 23 weeks' gestation has a hemoglobin of 9.5. Which diet choice indicates ... (Read 70 times)

iveyjurea · **on:** Jun 27, 2018

The pregnant patient at 23 weeks' gestation has a hemoglobin of 9.5. Which diet choice indicates that teaching has been effective?

1. Tofu with mixed vegetables in curry, milk, and whole-wheat bun
2. Roast beef, steamed spinach, tomato soup, and orange juice
3. Pork chop, mashed potatoes and gravy, cauliflower, and tea
4. Broiled fish, lettuce salad, grapefruit half, and carrot sticks

Question 2

A client is being admitted to the labor area with the diagnosis of eclampsia. Which actions by the nurse are appropriate at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply. 1. Tape a tongue blade to the head of the bed.
2. Pad the side rails.
3. Have the woman sit up.
4. Provide the client with grief counseling.
5. The airway should be maintained and oxygen administered.

miss.ashley · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale 1: This diet is high in calcium. The patient has iron-deficiency anemia, and requires a high-iron diet.
Rationale 2: This patient is anemic and needs iron. This meal contains iron in the beef, folic acid in the spinach, and vitamin C in the tomato soup and orange juice. Vitamin C helps absorption of the iron; folic acid is needed for production of red cells.
Rationale 3: The patient has iron-deficiency anemia, and requires a high-iron diet. This meal has a moderate amount of protein, but no vitamin C to help with iron absorption.
Rationale 4: The patient has iron-deficiency anemia, and requires a high-iron diet. This meal is high in fiber, low in fat, and moderately high in protein, but low in iron.

Answer to Question 2

2, 5
Explanation: 2. Side rails should be up and padded.
5. Suctioning may be necessary to keep the airway clear.