1
Which nutritional deficiency listed increases the risk for bleeding?
-
Vitamin K
-
Iron
-
Vitamin B
12
-
Folate
2
The nurse is providing nutritional counseling to a client planning pregnancy. The nurse should emphasize the importance of consuming what micronutrients to avoid macrocytic anemia?
-
Vitamin D
-
Vitamin E
-
Folic acid
-
Vitamin C
3
A middle-aged client with a history of alcohol use disorder is admitted to an acute care setting with symptoms of severe anemia. The nurse anticipates what nutrient(s) to be deficient?
-
Iron
-
Vitamin B
12
-
Calcium
-
Copper
4
The nurse notices that a client has excessive bruising and brittle nails. The client reports frequent infections. Which nutritional deficiency would the nurse expect for this client?
-
Iron
-
Protein
-
Vitamin C
-
Copper
5
A nurse is preparing discharge instructions for a client who has just been diagnosed with iron deficiency anemia and will be starting oral iron replacement therapy. Which of the following is an important nursing consideration to include in the teaching plan?
-
Hemoglobin should be checked in 6 months.
-
Always take iron with milk or food to increase absorption.
-
Always take iron with a citrus beverage, 1 hour before or 2 hours after meals, to increase absorption.
-
Increase diet in fatty fish.
6
Which nursing diagnosis is a priority for an older adult client just diagnosed with nutritional anemia?
-
Risk for falls
-
Risk for imbalanced nutrition, less than body requirements
-
Frail elderly syndrome, related to malnutrition
-
Risk for bleeding
7
The nurse is preparing discharge instructions for a client with anemia related to vitamin B
12
deficiency. The nurse suggests which of the following food items be increased in the client’s diet?
-
Animal meat, fish, eggs, and dairy
-
Beans, seeds, and nuts
-
Dark green leafy vegetables
-
Citrus fruits and acidic raw vegetables
8
Which of the following psychosocial influences impacting nutritional goals for hematologic wellness is the best target for an
initial
nursing intervention?
-
Health literacy
-
Transportation
-
Social support
-
Cognitive function
9
Assessing a client’s readiness to learn about nutrition-related hematologic illness, utilizing a holistic approach, should include all of the following except:
-
Providing written materials regarding vitamin C deficiency to the client immediately before discharge
-
Determining the client’s preferred language for learning
-
Discussing the client’s preferred learning style
-
Delaying discharge education until the client’s significant other is present
10
When evaluating the effectiveness of a nutritional plan for iron deficiency anemia, the nurse considers which of the following factors?
-
Behavior change typically takes 6 months to achieve, according to the Transtheoretical Model (TTM).
-
Hemoglobin is expected to increase as a response to oral ferrous sulfate within 2 to 3 months of starting.
-
An early sign suggesting improved anemia may include the client’s report of sleeping more.
-
Shortness of breath may take several months to improve.