A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include?

Take this medication between meals.

Limit intake of Vitamin C while taking this medication.

Take this medication with milk

Limit intake of whole grains while taking this medication.

Answer and Explanation

The Correct Answer is A

A. Take this medication between meals.
Iron supplements like ferrous gluconate are absorbed better on an empty stomach. Taking them between meals or one hour before meals, with a glass of orange juice (which contains vitamin C and enhances iron absorption), helps improve absorption.

B. Limit intake of Vitamin C while taking this medication.
This is incorrect. Vitamin C enhances iron absorption and is often recommended to be taken with iron supplements.

C. Take this medication with milk.
Taking iron supplements with milk is not recommended because calcium in milk can interfere with iron absorption.

D. Limit intake of whole grains while taking this medication.
Whole grains contain phytates, which can inhibit iron absorption. Therefore, it's a good idea to avoid consuming large amounts of whole grains with iron supplements.

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Correct Answer is D

Explanation

A. Place the client in a supine position.
Placing the client in a high Fowler's position (sitting upright) is the appropriate position for inserting a nasogastric tube. This position helps facilitate the passage of the tube through the nasopharynx and into the esophagus and stomach.

B. Withdraw the tube if the client gags during insertion.
Gagging during insertion is a normal response. Advancing the tube slowly and having the client swallow can help pass the tube through the nasopharynx.

C. Measure the tube for insertion from the tip of the nose to the umbilicus.
The correct measurement for insertion is from the tip of the nose to the earlobe and then down to the xiphoid process (not the umbilicus).

D. Instruct the client to place his chin to his chest and swallow.
This instruction is appropriate. Asking the client to flex their head slightly forward and swallow helps guide the tube into the esophagus.

A. Check the client for a positive Chvostek’s sign B. Discontinue the TPN infusion. C. Request a potassium replace D. Administer glucagon IM

Correct Answer is C

Explanation

A. Check the client for a positive Chvostek’s sign:
Chvostek's sign is a clinical sign of hypocalcemia, not related to the given laboratory values. The symptoms include facial muscle twitching when the facial nerve (VII) is tapped. There's no indication for this assessment based on the provided information.

B. Discontinue the TPN infusion:
The glucose level is within the normal range (70-99 mg/dL). Discontinuing TPN based solely on this glucose level is not warranted.

C. Request a potassium replacement:
The potassium level is low (normal range typically 3.5-5.0 mEq/L). Given the low potassium level, the nurse should plan to request a potassium replacement. Potassium is crucial for various physiological functions, and a deficiency can lead to significant complications.

D. Administer glucagon IM:
Glucagon is used to treat hypoglycemia, but the client's glucose level is within the normal range, so administering glucagon is not indicated.

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A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has a bowel obstruction and a new prescription for the insertion of a nasogastric tube. Which of the following Interventions should the nurse take when inserting the nasogastric tube?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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