Question

which of the following is an appropriate nursing intervention for a hospitalized client with severe anemia?
a. provide a diet high in vitamin k.
b. alternate periods of rest and activity.
c. teach the client how to avoid injury.
d. place the client on protective isolation
the nurse is instructing a client with iron deficiency anemia regarding the administration of a liquid oral iron supplement. which instruction should the nurse tell the client?
a. administer iron at mealtime
b. administer the iron through a straw
c. mix the iron with cereal to administer
d. add the iron to apple juice for easy administration

Explanation:

• For the first question:
• Option A: Vitamin K is related to blood clotting, not anemia treatment.
• Option B: Anemic clients have reduced oxygen - carrying capacity. Alternating rest and activity helps manage fatigue and oxygen demand.
• Option C: Avoiding injury is more relevant for clients with platelet disorders (e.g., thrombocytopenia) rather than the main nursing intervention for severe anemia.
• Option D: Protective isolation is for clients with immunosuppression (e.g., chemotherapy - induced neutropenia), not for anemia.
• For the second question:
• Option A: Iron is best absorbed on an empty stomach. Taking it at mealtime reduces absorption.
• Option B: Liquid oral iron can stain teeth. Administering through a straw helps prevent this.
• Option C: Mixing with cereal (a food) reduces iron absorption.
• Option D: Apple juice is not the best vehicle. Orange juice (rich in vitamin C) enhances iron absorption, but the key here is the straw for liquid iron to prevent tooth staining.

Answer:

For the first question: B. Alternate periods of rest and activity.
For the second question: B. Administer the iron through a straw.