The nurse is developing a meal plan that would provide the maximum possible amount of iron for a child with anemia. Which dinner menu would be best?

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Question 1 of 5

The nurse is developing a meal plan that would provide the maximum possible amount of iron for a child with anemia. Which dinner menu would be best?

Correct Answer: B

Rationale: Ground beef, lima beans, wheat roll, raisins, milk maximizes iron. Heme iron from beef (~2.5 mg) and non-heme from beans (~4.5 mg), raisins (~1 mg), and wheat (~1 mg) optimize absorption. Others (A, C, D) offer less (~0.5-1 mg). B fights anemia, making it best.

Question 2 of 5

The health care team is managing the care of a client with terminal cancer. The client's spouse says, 'I don't want him to suffer anymore.' Which member of the team should develop a plan to provide optimal comfort?

Correct Answer: B

Rationale: The primary nurse should develop the comfort plan. Nurses coordinate palliative care, managing pain and symptoms, per scope. Social workers offer emotional support, dietitians nutrition, and providers prescribe, but B integrates holistic comfort, making it the best choice.

Question 3 of 5

The nurse is assessing a client with a chest tube attached to a water seal drainage system. Which finding requires immediate action by the nurse?

Correct Answer: D

Rationale: Absence of fluctuation in the water seal chamber requires immediate action. It suggests obstruction, disconnection, or lung re-expansion issues, risking tension pneumothorax, per protocol. Normal fluctuation , blood , and suction bubbling are expected. D threatens airway, making it priority.

Question 4 of 5

The nurse is caring for a client with a history of falls. Which intervention should the nurse implement to promote safety?

Correct Answer: B

Rationale: Placing the call bell within reach promotes safety for a fall-risk client. It ensures assistance access, reducing unnecessary movement, per standards. High bed increases risk, restraints harm dignity, and socks slip. B enhances safety, making it best.

Question 5 of 5

The nurse instructs the client taking dexamethasone (Decadron) to take it with food or milk. The physiological basis for this instruction is that the medication

Correct Answer: B

Rationale: Dexamethasone stimulates hydrochloric acid production , increasing gastric irritation risk, per pharmacology. Taking it with food or milk buffers this effect, protecting the stomach lining. Pepsin isn't primarily affected, emptying time isn't slowed, and acid production isn't decreased . B explains the physiological need for this instruction.

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