The healthcare provider gives a pregnant woman a prescription for one prenatal vitamin with iron daily, and tells her that she needs to increase iron rich foods in her diet because her hemoglobin is 8.2 grams/dl. When a list of iron rich foods is given to the client, she tells the practical nurse (PN) that she is vegetarian and does not eat anything that "bleeds." Which instruction should the PN provide? (Select all that apply.)
Explanation & Rationale
A. Increase green leafy vegetables in the diet: Dark green vegetables such as spinach, kale, and broccoli are rich in non-heme iron. Including these foods helps improve hemoglobin levels while aligning with a vegetarian diet, especially when consumed with vitamin C to enhance absorption. B. Eat red meat just until the anemia is resolved: Suggesting the client eat red meat disregards her vegetarian beliefs and may cause distress or noncompliance. Nursing teaching should respect the client’s dietary preferences and focus on plant-based iron alternatives. C. Add lentils and black beans to soups: Legumes like lentils and black beans are excellent sources of plant-based iron and protein. Incorporating them regularly supports iron intake and helps improve anemia while maintaining vegetarian dietary restrictions. D. Take two prenatal vitamins with iron daily: Doubling prenatal vitamins without a provider’s order may cause iron toxicity or other side effects such as constipation or nausea. Medication adjustments should always be directed by the healthcare provider. E. Oatmeal is a good choice for breakfast: Oatmeal provides moderate iron content and can be paired with fruits rich in vitamin C, such as strawberries or oranges, to enhance absorption. It is an appropriate, nutrient-dense option for a vegetarian managing anemia.