Rationale COOA SAS 15

1.Good sources of vitamin B12 include meats and dairy products. Whole
grains are a good source of thiamine. Green leafy vegetables are good
sources of niacin, folate, and carotenoids (precursors of vitamin A). Broccoli
and Brussels sprouts are good sources of ascorbic acid (vitamin C).
2. Coffee and tea increase gastrointestinal motility and inhibit the absorption of
nonheme iron. Clients are instructed to add dried fruits to dishes at every
meal because dried fruits are a nonheme or nonanimal iron source. Cooking
in iron cookware, especially acid-based foods such as tomatoes, adds iron to
the diet. Clients are instructed to add a rich supply of vitamin C to every meal
because the absorption of iron is increased when food with vitamin C or
ascorbic acid is consumed.
3.  It is difficult to determine activity intolerance without objectively comparing
activities from one time frame to another. Because iron deficiency anemia can
occur gradually and individual endurance varies, the nurse can best assess
the client's activity tolerance by asking the client to compare activities 6
months ago and at the present
4. The decrease in respiratory rate indicates that the client is not strong
enough to complete the mechanical cycle of respiration needed for gas
exchange.
5.Brown rice is a source of iron from plant sources (nonheme iron). Other
sources of non heme iron are whole-grain cereals and breads, dark green
vegetables, legumes, nuts, dried fruits (apricots, raisins, dates), oatmeal, and
sweet potatoes.
6. Anemia is defined as a decreased number of erythrocytes (red blood cells).
7.  The results of a CBC in children with iron deficiency anemia will show
decreased hemoglobin levels and microcytic and hypochromic red blood cells.
The red blood cell count is decreased. The reticulocyte count is usually
normal or slightly elevated.
8. Changes in the immune system that accompany aging include
-Decreased numbers of T helper cells
-Fewer cytotoxic T cells responding to infections
-T cells becoming less responsive to antigens 
-B cells are less responsive
9. The aged immune system is less able to mount an effective immune
response after challenges with infectious pathogens than the young because
of complex changes collectively termed “immunosenescence.”

10. The increased incidence of cancer in the elderly reflects the fact that surveillance
by the lymphatic system declines.