A client with anemia is prescribed ferrous sulfate supplements. A nurse should instruct the client to take the supplement:

With meals

On an empty stomach

At bedtime

Simultaneously with calcium supplements

Answer and Explanation

The Correct Answer is B

A. With meals
Taking ferrous sulfate with meals may reduce its absorption because food, particularly dairy products and certain medications, can interfere with iron absorption.

B. On an empty stomach
Ferrous sulfate is best absorbed on an empty stomach, as food can inhibit iron absorption. However, if gastrointestinal irritation occurs, it may be taken with a small amount of food.

C. At bedtime
Taking iron supplements at bedtime is not ideal because it can cause gastrointestinal discomfort, which may interfere with sleep.

D. Simultaneously with calcium supplements
Calcium supplements can interfere with the absorption of iron, so they should not be taken at the same time as ferrous sulfate. It is recommended to space them out by at least 2 hours.

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Correct Answer is A

Explanation

A) This choice is correct. A low mean corpuscular volume (MCV) indicates microcytic red blood cells, which are characteristic of iron-deficiency anemia.

B) This choice is incorrect because hemolytic anemia typically presents with a normal or elevated MCV, not a low MCV.

C) This choice is incorrect because megaloblastic anemia is associated with an elevated MCV due to the presence of larger-than-normal red blood cells (macrocytic).

D) This choice is incorrect because pernicious anemia is associated with a macrocytic MCV, not a microcytic MCV.

A. Hypotension B. Hypokalemia C. Hypoglycemia D. Thrombosis

Correct Answer is D

Explanation

A) This choice is incorrect because ESA therapy is not typically associated with hypotension. In fact, an increase in blood pressure is a potential side effect of ESAs.

B) This choice is incorrect because hypokalemia (low potassium levels) is not a common adverse effect of ESA therapy.

C) This choice is incorrect because hypoglycemia (low blood sugar) is not a typical side effect of ESA therapy.

D) This choice is correct. ESA therapy can increase the risk of thrombosis (blood clot formation) due to the stimulation of red blood cell production. Clients receiving ESAs should be monitored for signs of thrombosis, such as swelling, pain, and redness in the extremities.

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A client with anemia is prescribed ferrous sulfate supplements. A nurse should instruct the client to take the supplement:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's laboratory results and finds a low mean corpuscular volume (MCV). Which type of anemia does this finding suggest?

Correct Answer is A

Explanation

A client with anemia is receiving erythropoiesis-stimulating agents (ESAs) to promote red blood cell production. The nurse should monitor the client for which adverse effect related to ESA therapy?

Correct Answer is D

Explanation

A nurse is providing education to a client diagnosed with iron-deficiency anemia. Which of the following factors could contribute to the development of this condition? Select all that apply.

A nurse is caring for a client diagnosed with iron-deficiency anemia. The client asks the nurse about dietary changes to improve their condition. Which food item should the nurse recommend to the client to increase their iron intake?

A client with sickle cell anemia is experiencing a vaso-occlusive crisis. Which intervention should the nurse implement first?

A nurse is assessing a client with suspected anemia. Which laboratory test is commonly used to confirm the diagnosis of anemia?

A nurse is caring for a client with anemia, and the client has a history of chronic inflammatory diseases such as rheumatoid arthritis. Which of the following types of anemia is most likely to be associated with chronic inflammatory conditions?

A client with anemia is receiving packed red blood cell (PRBC) transfusions. The nurse should prioritize which action during the transfusion process?

A nurse is caring for a client with anemia, and the laboratory results show an increased number of target cells on the peripheral blood smear. Which type of anemia is most likely to be associated with this finding?

A client with chronic kidney disease and anemia is prescribed erythropoiesis-stimulating agents (ESAs) as part of the treatment plan. The nurse educates the client about the importance of which parameter during ESA therapy?