A client with hyperaldosteronism is admitted to the unit and is ...

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A client with hyperaldosteronism is admitted to the unit and is at risk for impaired gas exchange. Which position should this client be placed to enhance gas exchange?
 
  A) Fowler's position
  B) Prone position
  C) Left side-lying position
  D) Right Sims position

Question 2

The nurse is instructing a client with iron deficiency anemia about appropriate menu choices. Which diet choice indicates that teaching has been effective?
 
  A) Tofu with mixed vegetables in curry, milk, whole-wheat bun
  B) Broiled fish, lettuce salad, grapefruit half, carrot sticks
  C) Pork chop, mashed potatoes and gravy, cauliflower, tea
  D) Roast beef, steamed spinach, tomato soup, orange juice

[1_Step_At_ATime]

Answer to Question 1

Answer: A

The client with prolonged vomiting will likely have severe metabolic alkalosis with reduced oxygenation. The Fowler's position will facilitate alveolar ventilation with improved oxygenation. Side-lying and prone positions do not facilitate needed lung expansion.

Answer to Question 2

Answer: D

This client 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. The meal of tofu with mixed vegetables in curry, milk, and a whole-wheat bun is high in calcium, but the client has iron deficiency anemia and requires a high-iron diet. The meal with a pork chop, mashed potatoes and gravy, cauliflower, and tea has a moderate amount of protein, but no vitamin C. The meal of fish, lettuce, grapefruit, and carrot sticks is high in fiber, low in fat, and moderately high in protein, but low in iron.