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Author Question: A patient who is receiving methotrexate for severe rheumatoid arthritis develops a megaloblastic ... (Read 155 times)

colton

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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


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amy.lauersdorf90

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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

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Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it

bigsis44

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Reply 3 on: Yesterday
Excellent

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