A client is prescribed ferrous sulfate 325 mg BID. What education should the nurse provide about this medication? (Select All that Apply.)
Take the medication with milk to increase absorption.
Take the medication on an empty stomach
Eat foods high in fiber while on this medication.
Report stools that are dark in color immediately.
Eating citrus fruit and juices are recommended with meals.
Correct Answer : B,C,D,E
A. Take the medication with milk to increase absorption:
This statement is incorrect. Taking ferrous sulfate with milk or dairy products is not recommended as they can decrease iron absorption. It's advisable to take iron supplements with water or juice, preferably on an empty stomach or with a small amount of food.
B. Take the medication on an empty stomach:
This statement is partially correct. While taking ferrous sulfate on an empty stomach can enhance absorption, some individuals may experience gastrointestinal discomfort or irritation. Therefore, it's often recommended to take iron supplements with a small amount of food to minimize potential side effects.
C. Eat foods high in fiber while on this medication:
This statement is generally correct. Consuming foods high in fiber can help prevent constipation, which is a common side effect of iron supplements. Including fiber-rich foods in the diet, such as fruits, vegetables, whole grains, and legumes, can promote regular bowel movements.
D. Report stools that are dark in color immediately:
This statement is correct. Dark or black stools can indicate the presence of digested blood, which may occur due to iron supplementation. It's important to report such changes to the healthcare provider promptly for further evaluation.
E. Eating citrus fruit and juices are recommended with meals:
This statement is correct. Citrus fruits and juices, such as oranges, grapefruits, and lemon juice, contain vitamin C, which can enhance iron absorption. Consuming vitamin C-rich foods or drinks along with iron supplements can help improve iron uptake by the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The pain can be severe and sudden at rest: This statement is more characteristic of unstable angina, where chest pain can occur at rest or with minimal exertion and is often severe and unpredictable.
B. The pain persists with rest and organic nitrates: This statement is more indicative of unstable angina or variant (Prinzmetal's) angina. Stable angina typically improves with rest and nitroglycerin (an organic nitrate).
C. The pain usually lasts longer than 20 minutes: Stable angina pain typically lasts for a few minutes (usually less than 5 to 10 minutes) and resolves with rest or nitroglycerin. Pain lasting longer than 20 minutes may indicate an acute coronary syndrome such as unstable angina or myocardial infarction.
D. Exertion and anxiety can trigger the pain: This statement is accurate for stable angina. Exertion, such as physical activity or emotional stress, can trigger anginal pain in individuals with stable angina due to increased oxygen demand by the heart.
Correct Answer is D
Explanation
A. "I will have canned chicken noodle soup with crackers and an apple for lunch": Canned soups are often high in sodium, and crackers can also contribute to sodium intake. This meal choice would not align with a low-sodium diet.
B. "I will have a ham and cheese sandwich for lunch": Processed meats like ham and cheese can be high in sodium, especially if they are not low-sodium options. This choice may not be suitable for a low-sodium diet unless specific low-sodium products are used.
C. "I will have a BLT and a side salad with cheese and croutons for lunch": Bacon, cheese, and croutons are all sources of sodium, so this meal would likely not be appropriate for a low-sodium diet unless modifications are made, such as using low-sodium bacon and limiting cheese and crouton amounts.
D. "I will have a baked potato with broiled chicken for dinner": This statement indicates an understanding of choosing low-sodium options. Baked potatoes and broiled chicken are generally low in sodium, especially if prepared without added salt or high-sodium seasonings. This choice aligns well with a low-sodium diet for someone with heart failure.
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