What strategy should a nurse recommend to enhance iron absorption in a client with anemia?

Consuming vitamin C with iron sources is a highly effective strategy to enhance iron absorption, particularly for individuals with anemia. Vitamin C, or ascorbic acid, has been shown to convert iron from its ferric form (non-heme iron) to its ferrous form, which is more readily absorbed by the body. This conversion increases the bioavailability of iron during digestion. In addition, vitamin C can also help to reduce phytate and polyphenol content in certain foods, which are known inhibitors of iron absorption. Therefore, pairing vitamin C-rich foods such as citrus fruits, bell peppers, and strawberries with iron-rich meals can significantly improve the uptake of iron and benefit individuals struggling with anemia.

The other strategies are less effective for enhancing iron absorption. For example, calcium can compete with iron for absorption in the intestines, and thus eating calcium-rich foods at the same time as iron-rich meals may hinder iron uptake. Over-restricting fruits and vegetables can limit sources of vitamin C and other nutrients necessary for overall health. Additionally, avoiding vitamin A supplements does not directly correlate with iron absorption and may actually have implications for iron metabolism, as vitamin A plays a role in the mobilization of iron from stores.