A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?
Taking the medication between meals will help you avoid becoming constipated.
The medication can cause nausea if taken with food.
Taking the medication between meals will help you absorb the medication more efficiently.
Taking the medication with food increases the risk of esophagitis.
The Correct Answer is C
Choice A reason: Taking the medication between meals will help you avoid becoming constipated is incorrect because it is not the reason why the provider instructed that she take the ferrous sulfate between meals. It is a possible benefit of taking the medication between meals, but it is not the main purpose. Iron supplements can cause constipation, but this can be prevented by drinking plenty of fluids, eating high-fiber foods, and exercising regularly.
Choice B reason: The medication can cause nausea if taken with food is incorrect because it is not the reason why the provider instructed that she take the ferrous sulfate between meals. It is a possible side effect of taking the medication with or without food, but it is not the main reason. Iron supplements can cause nausea, but this can be reduced by taking the medication with a small amount of food, such as crackers, or by taking an antiemetic medication.
Choice C reason: Taking the medication between meals will help you absorb the medication more efficiently is correct because it is the reason why the provider instructed that she take the ferrous sulfate between meals. It is the main purpose of taking the medication between meals, as iron absorption is enhanced when the stomach is empty and the pH is low. Iron supplements can interact with food components, such as calcium, phytates, and tannins, and reduce the amount of iron that is absorbed by the body.
Choice D reason: Taking the medication with food increases the risk of esophagitis is incorrect because it is not the reason why the provider instructed that she take the ferrous sulfate between meals. It is a possible complication of taking the medication without enough water, but it is not the main reason. Iron supplements can cause esophagitis, which is inflammation of the esophagus, if they are not swallowed properly or if they get stuck in the throat. This can be prevented by taking the medication with a full glass of water, sitting upright, and not lying down for at least 30 minutes after taking the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Assessing the fetal heart rate pattern is the priority nursing action following an amniotomy because it can indicate the well-being of the fetus and the presence of any complications, such as cord compression, prolapse, or infection.
Choice B reason: Observing the color and consistency of fluid is an important nursing action following an amniotomy, but it is not the priority. It can provide information about the gestational age, the presence of meconium, or the risk of infection.
Choice C reason: Assessing the client's temperature is an important nursing action following an amniotomy, but it is not the priority. It can help detect signs of infection, such as chorioamnionitis, which can affect both the mother and the fetus.
Choice D reason: Evaluating the client for the presence of chills and increased tenderness using palpation is an important nursing action following an amniotomy, but it is not the priority. It can also help detect signs of infection, such as chorioamnionitis, which can cause fever, abdominal pain, and uterine contractions.
Correct Answer is C
Explanation
Choice A reason: Chlamydia is not the least common of all the major sexually transmitted diseases. In fact, it is the most common bacterial STD in the world, affecting about 131 million people each year. ¹ Therefore, this statement is false and does not need to be emphasized.
Choice B reason: Good handwashing technique is not the best way to prevent chlamydial infections. Chlamydia is spread through sexual contact, not through casual contact or hygiene. The best way to prevent chlamydial infections is to practice safe sex, such as using condoms, limiting the number of partners, and getting tested regularly. Therefore, this statement is misleading and does not need to be emphasized.
Choice C reason: Most people infected with chlamydia are unaware that they are infected. This is because chlamydia often has no symptoms, or the symptoms are mild and easily ignored. This can lead to serious complications, such as pelvic inflammatory disease, infertility, ectopic pregnancy, and increased risk of HIV. Therefore, this statement is true and needs to be emphasized.
Choice D reason: Burning and pain with urination is a frequent symptom of chlamydial infections. However, this symptom is not specific to chlamydia, as it can also occur with other STDs or urinary tract infections. Moreover, not all people with chlamydia experience this symptom, especially women. Therefore, this statement is not very informative and does not need to be emphasized.
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