A vegetarian client was referred to a dietitian for nutritional counseling for anemia. Which client outcome indicates that the client does not understand nutritional counseling? The client:

Correct Answer: C

Rationale: Step 1: Drinking coffee or tea with meals can inhibit iron absorption due to the presence of tannins and polyphenols. Step 2: Tannins bind to iron, making it less available for absorption in the body. Step 3: Polyphenols in coffee and tea also interfere with iron absorption. Step 4: Therefore, by drinking coffee or tea with meals, the client is hindering the absorption of iron from their diet. Summary: A: Adding dried fruit provides iron and is beneficial for anemia. B: Cooking in iron pots can increase dietary iron intake. D: Adding vitamin C enhances iron absorption, indicating understanding of nutritional counseling. C: Drinking coffee or tea with meals limits iron absorption, indicating a lack of understanding.

Correct Answer: A

Rationale: The correct answer is A: MCH (Mean Corpuscular Hemoglobin). MCH represents the average weight of hemoglobin per red blood cell. The normal range is 27-33 pg. MCV (Mean Corpuscular Volume) measures the average volume of RBCs, not the weight of hemoglobin. MCHC (Mean Corpuscular Hemoglobin Concentration) measures the concentration of hemoglobin in a given volume of packed red blood cells, not the weight of hemoglobin. RDW (Red Cell Distribution Width) measures the variation in RBC size, not the weight of hemoglobin. Therefore, A is correct as it directly relates to the average weight of hemoglobin per red blood cell.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Wilson's disease is a genetic disorder that causes copper to accumulate in the liver. 2. The excess copper can lead to liver damage and various liver problems. 3. Therefore, it is true that Wilson's disease can cause liver problems. Summary: B: False - Incorrect, as Wilson's disease does cause liver problems. C: Sometimes - Incorrect, as Wilson's disease consistently leads to liver problems. D: Only in children - Incorrect, as Wilson's disease can affect individuals of all ages, not just children.

Correct Answer: A

Rationale: The correct answer is A: 120 days. Red blood cells (RBCs) have a lifespan of around 120 days. This is because they do not contain a nucleus and other organelles, limiting their ability to repair and maintain themselves. RBCs are constantly being produced and replaced by the bone marrow. Choices B, C, and D are incorrect as they do not align with the established scientific knowledge regarding the lifespan of RBCs. A lifespan of 100, 200, or 80 days is not consistent with the typical turnover rate and function of red blood cells in the body.

Correct Answer: B

Rationale: The correct answer is B: Lymphocytosis. Chronic Lymphocytic Leukemia is characterized by an increased number of mature lymphocytes in the peripheral blood and bone marrow, leading to lymphocytosis. Lymphocytopenia (choice A) is the opposite of lymphocytosis and is not typical in CLL. Neutropenia (choice C) refers to a low level of neutrophils, which is not a characteristic finding in CLL. Thrombocytosis (choice D) is an increased number of platelets, which is not a defining feature of CLL.