Author Question: The nurse instructs a patient on the dietary management of iron deficiency anemia. Which patient ... (Read 123 times)

futuristic · **on:** Jun 25, 2018

The nurse instructs a patient on the dietary management of iron deficiency anemia. Which patient statement indicates a need for additional teaching?

1. I will eat more fruits and vegetables, especially green leafy ones, to get more B12 in my diet.
2. I will take vitamins with extra iron in addition to eating a balanced diet with meat to correct my anemia.
3. I will add food high in vitamin C to improve my absorption of iron in both my vitamins.
4. I will need to include more protein foods in my diet such as meats, dried beans, and whole-grain bread.

Question 2

A patient diagnosed with acute myeloid leukemia (AML) has an absolute neutrophil count of 200. What action by the nurse would minimize the risk of complications from neutropenia?

1. using strict aseptic technique when performing all procedures
2. spacing frequent meals throughout the day to increase caloric intake
3. restricting fluids and salts to reduce edema
4. regulating the thermostat for a cooler environment

Ksanderson1296 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Fruits and vegetables provide vitamin B12 and folic acid but do not address the iron deficiency. The lack of iron is the problem that needs to be addressed. The other statements are correct.

Answer to Question 2

Correct Answer: 1
AML results in neutropenia and thrombocytopenia, which lead to increased risks of bleeding. Actions to minimize these risks include using strict hand hygiene to prevent possible cross-contamination. Weight loss is a symptom of chronic myeloid leukemia (CML), not AML. Therefore, dietary intake is not increased with AML. The patient with AML does not have a problem with fluid shifts or edema that would require fluid and salt restrictions. Fluids are encouraged to remove wastes that occur with chemotherapy treatment and cellular breakdown. Heat intolerance is a symptom of chronic myeloid leukemia (CML), not AML.