A nurse is administrating ferrous sulfate elixir to a client who has iron deficiency anemia. Which of the following actions should the nurse take?
Give the medication with a caffeinated beverage.
Administer the medication through a straw.
Provide an antacid with the medication.
Dilute the medication with milk.
The Correct Answer is B
Choice A rationale: Caffeine might decrease iron absorption; it's better to give the medication with water or juice.
Choice B rationale: Ferrous sulfate elixir may stain the teeth. Administering it through a straw helps minimize the risk of dental discoloration.
Choice C rationale: Antacids may decrease iron absorption.
Choice D rationale: Milk can also interfere with iron absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Erythromycin lactobionate should be reconstituted with sterile water for injection, not dextrose solution. Dextrose solution can cause precipitation and reduce the effectiveness of the medication.
Choice B rationale: Erythromycin lactobionate is a macrolide antibiotic that can cause ototoxicity, which is damage to the inner ear that can result in hearing loss, tinnitus, or vertigo. The nurse should monitor the client for signs of ototoxicity and report any changes to the provider.
Choice C rationale: Erythromycin lactobionate can cause diarrhea, not constipation. The nurse should advise the client to drink plenty of fluids and monitor for signs of dehydration.
Choice D rationale: Erythromycin lactobionate should be administered over 20 to 60min, depending on the dose and the client's condition. Administering the medication too rapidly can cause phlebitis, thrombophlebitis, or cardiac arrhythmias.
Correct Answer is A
Explanation
Choice A rationale: Citalopram is a selective serotonin reuptake inhibitor (SSRI) that increases the level of serotonin in the brain. Serotonin syndrome is a rare but serious adverse effect of SSRIs that can cause confusion, agitation, tremors, seizures, and coma. The nurse should report this finding to the provider immediately, as it can be life-threatening.
Choice B rationale: Insomnia can occur as an adverse effect of citalopram but might not be as immediately concerning as confusion.
Choice C rationale: Bruxism (teeth grinding) can be a side effect of citalopram but might not pose an immediate risk compared to confusion.
Choice D rationale: Weight loss, while a potential side effect, might not be as urgent or immediately concerning as confusion.
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