Author Question: The nurse teaches a class on iron-deficiency anemia to a group of pregnant clients who are all ... (Read 34 times)

CQXA · **on:** Jul 23, 2018

The nurse teaches a class on iron-deficiency anemia to a group of pregnant clients who are all taking ferrous sulfate (Feosol). The nurse evaluates that additional learning is needed when the clients make which statement?

1. Most iron in our bodies is stored on hemoglobin in the red blood cell.
2. Transferrin is a protein that transports iron to places in our bodies where it is needed.
3. We need extra iron because when our red blood cells die, all their iron is excreted from the body.
4. The most common cause of nutritional anemia is iron deficiency.

Question 2

The client has chronic alcoholism. He asks the nurse why his doctor put him on folic acid (Folvite) since he promised the doctor that he would stop drinking. What is the best response by the nurse?

1. You should ask your doctor since you promised him that you would not drink anymore.
2. You have been drinking instead of eating, and alcohol interferes with folate metabolism in your liver.
3. You need folic acid to make up for the vitamin B12 deficiency that was caused by your alcoholism.
4. You need folic acid because you have not been compliant with taking your vitamins and attending Alcoholics Anonymous (AA) meetings.

randomguy133 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Most iron in our bodies is stored on hemoglobin in the red blood cell.
Rationale 2: Transferrin is a protein that transports iron to places in our bodies where it is needed.
Rationale 3: After erythrocytes die, nearly all of the iron in their hemoglobin is incorporated into transferrin and recycled for later use.
Rationale 4: The most common cause of nutritional anemia is iron deficiency.

Answer to Question 2

Correct Answer: 2
Rationale 1: Referring the client back to the physician is inappropriate; the nurse can answer this question.
Rationale 2: Insufficient folic acid can manifest itself as anemia. This is often observed in chronic alcoholism, since alcoholics consume alcohol instead of eating nutritious foods. Alcohol interferes with folate metabolism in the liver.
Rationale 3: Folic acid anemia is not caused by a vitamin B12 deficiency.
Rationale 4: The client needs folic acid because his liver cannot metabolize folate, not because he has missed his vitamins and Alcoholics Anonymous (AA) meetings.