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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
A. "I will consume less caffeine and spicy foods."
This statement is correct. Avoiding caffeine and spicy foods can help reduce stomach acid and prevent irritation, which is beneficial for individuals with hiatal hernia.
B. "I will sleep with the head of my bed elevated."
This statement is correct. Elevating the head of the bed can help prevent stomach acid from flowing back into the esophagus while sleeping, reducing symptoms like heartburn.
C. “I will lie down for one-half hour after meals."
This statement is incorrect. It's advisable for individuals with hiatal hernia to remain upright for at least two to three hours after meals to allow gravity to aid digestion and prevent acid reflux.
D. “I will drink less fluid."
This statement is incorrect. Adequate hydration is important for overall health. Drinking water between meals (not during meals) is generally recommended for individuals with hiatal hernia to prevent excess stomach distension during meals.
E. “To gain weight.”
This statement is not directly related to dietary recommendations for hiatal hernia. Weight gain or loss would depend on the individual's overall health goals and is not specific to managing hiatal hernia symptoms.
Correct Answer is B
Explanation
A. Avoid replacing the NG tube if it is accidentally dislodged: If the NG tube is accidentally dislodged, it should be replaced to maintain gastric decompression unless contraindicated. This option is incorrect.
B. Irrigate the blue pigtail port with sterile saline.
This is the correct answer. In a double-lumen nasogastric (NG) tube, one lumen (usually blue) is used for gastric decompression (removal of gastric contents), and the other lumen (usually white) is used for air venting and irrigation. Irrigating the blue pigtail port with sterile saline is part of the nursing care to maintain tube patency and prevent blockage.
C. Verify tube placement by injecting air into the larger lumen: Tube placement verification is typically done by auscultating for air while injecting air into the smaller lumen (air venting and irrigation lumen), not the larger lumen. Injecting air into the larger lumen does not serve this purpose and can be dangerous. This option is incorrect.
D. Avoid the nares when providing hygiene care: Proper hygiene care around the nares is essential to prevent irritation and breakdown of the skin. However, this option does not specifically address the care of the NG tube itself. This option is incorrect.
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