This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient who is receiving methotrexate for severe rheumatoid arthritis develops a megaloblastic ... (Read 109 times)

colton

  • Hero Member
  • *****
  • Posts: 627
on: Jun 25, 2018
A patient who is receiving methotrexate for severe rheumatoid arthritis develops a megaloblastic anemia. The nurse will anticipate teaching the patient about increasing oral intake of
 
  a. iron.
  b. folic acid.
  c. cobalamin (vitamin B12).
  d. ascorbic acid (vitamin C).

Question 2

Which menu choice indicates that the patient understands the nurse's teaching about best dietary choices for iron-deficiency anemia?
 
  a. Omelet and whole wheat toast
  b. Cantaloupe and cottage cheese
  c. Strawberry and banana fruit plate
  d. Cornmeal muffin and orange juice


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

amy.lauersdorf90

  • Sr. Member
  • ****
  • Posts: 327
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
Methotrexate use can lead to folic acid deficiency. Supplementation with oral folic acid supplements is the usual treatment. The other nutrients would not correct folic acid deficiency, although they would be used to treat other types of anemia.

Answer to Question 2

ANS: A
Eggs and whole grain breads are high in iron. The other choices are appropriate for other nutritional deficiencies but are not the best choice for a patient with iron-deficiency anemia.


colton

  • Member
  • Posts: 627
Reply 2 on: Jun 25, 2018
Excellent

pratush dev

  • Member
  • Posts: 321
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

The liver in this photograph was from a deceased patient with an advanced state of cirrhosis. The liver in this photograph was from a deceased patient with an advanced state of cirrhosis.
Example of problem focused patient Example of problem focused patient
Patient conditions not appropriate for elctronic blood pressure measurement Patient conditions not appropriate for elctronic blood pressure measurement
Apply direct pressure to the patient’s wound. Apply direct pressure to the patient’s wound.
A medical assistant helps a patient walk with a gait belt. A medical assistant helps a patient walk with a gait belt.
The relationship of substrate con- version (as measured by optical density) to the amount of patient ... The relationship of substrate con- version (as measured by optical density) to the amount of patient ...
Video: Acid-base imbalances - compensation of metabolic acidosis and alkalosis

For a complete list of videos, visit our video library