A client is prescribed ferrous sulfate (Feosol). Which of the following adverse reactions should the nurse discuss with a client prior to the administration of this drug?

Constipation.

Fluid retention.

Fatigue.

Clay colored stools.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Constipation is a potential adverse reaction to ferrous sulfate (Feosol), an iron supplement. Iron can cause gastrointestinal disturbances, including constipation, due to its effect on slowing down bowel movements and hardening of stool. It is important for the nurse to discuss this with the client before administering the drug to ensure the client is aware of this potential side effect.

Choice B rationale:

Fluid retention is not a common adverse reaction to ferrous sulfate. In fact, iron supplements are more likely to cause gastrointestinal issues like constipation rather than fluid retention.

Choice C rationale:

Fatigue is not a direct adverse reaction to ferrous sulfate. In some cases, iron deficiency can lead to fatigue, but this is usually a result of the underlying condition and not the medication itself.

Choice D rationale:

Clay-colored stools are not a typical adverse reaction to ferrous sulfate. This may indicate a potential issue with liver function or biliary obstruction but is not directly related to the iron supplement.

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Correct Answer is B

Explanation

Choice A rationale:

Nizatidine is not a proton pump inhibitor; it is an H2 receptor antagonist. It works by blocking the histamine H2 receptors in the stomach, reducing acid production. Proton pump inhibitors (PPIs) work differently by directly inhibiting the proton pump (H+/K+ ATPase) responsible for acid secretion in the stomach.

Choice B rationale:

Omeprazole is a proton pump inhibitor (PPI). PPIs are drugs that reduce gastric acid production by inhibiting the proton pump (H+/K+ ATPase) in the parietal cells of the stomach. This action is highly effective in treating conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers.

Choice C rationale:

Sucralfate is not a proton pump inhibitor; it is a medication that forms a protective barrier over ulcers and erosions in the stomach and intestines. It does not directly affect acid production.

Choice D rationale:

Misoprostol is not a proton pump inhibitor; it is a synthetic prostaglandin E1 analog. It is primarily used to prevent gastric ulcers in individuals who are at high risk due to chronic nonsteroidal anti-inflammatory drug (NSAID) use. It has a protective effect on the gastric mucosa but does not inhibit acid secretion.

A. Clients with diabetes. B. Clients with hypertension. C. Clients with chronic obstructive pulmonary disorder (COPD). D. Clients with cancer.

Correct Answer is A

Explanation

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A client is prescribed ferrous sulfate (Feosol). Which of the following adverse reactions should the nurse discuss with a client prior to the administration of this drug?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A group of nursing students is reviewing information about upper gastrointestinal system drugs.The students demonstrate understanding of the material when they identify which of the following as a proton pump inhibitor?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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