Author Question: A client who is a vegetarian is having difficulty maintaining a hemoglobin level over 12 gm/dL. The ... (Read 31 times)

iveyjurea · **on:** Jul 23, 2018

A client who is a vegetarian is having difficulty maintaining a hemoglobin level over 12 gm/dL. The nurse understands that this problem is primarily related to the client's choice to avoid animal products.

Which food choices contain sufficient iron to meet this client's needs?
1. Red and orange vegetables such as tomatoes, sweet potatoes, and carrots
2. Cruciferous vegetables such as broccoli and cauliflower
3. Root vegetables such as potatoes, onions, and yams
4. Whole-grain bread and pastas, and fortified cereal

Question 2

The nurse is caring for a client diagnosed with aplastic anemia. The nurse recognizes that the medical management of this type of anemia is based on the fact that it is triggered by which event?

1. Acute destruction of red blood cells within the body.
2. A hereditary problem with the formation of red blood cells.
3. An episode of acute bleeding.
4. Lack of intrinsic factor in the gastrointestinal tract.

abro1885 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Red and orange vegetables are not a significant source of iron.
Rationale 2: Cruciferous vegetables are not a significant source of iron.
Rationale 3: Root vegetables are not a significant source of iron.
Rationale 4: Whole-grain breads and pasta and fortified cereal are the best nonanimal sources of iron.
Global Rationale: Whole-grain breads and pasta and fortified cereal are the best nonanimal sources of iron. Red and orange vegetables, cruciferous vegetables, and root vegetables are not significant sources of iron.

Answer to Question 2

Correct Answer: 1
Rationale 1: Aplastic anemia is caused by an abnormal process within the body that destroys large numbers of red blood cells.
Rationale 2: Aplastic anemia is not a problem with formation of red blood cells.
Rationale 3: Acute bleeding is not a cause of aplastic anemia.
Rationale 4: Lack of intrinsic factor causes pernicious anemia.
Global Rationale: Aplastic anemia is caused by an abnormal process within the body that destroys large numbers of red blood cells. Aplastic anemia is not a problem with formation of red blood cells. Acute bleeding is not a cause of aplastic anemia. Lack of intrinsic factor causes pernicious anemia.