A nurse is caring for a client with iron deficiency anemia who is receiving iron supplements.
What information should the nurse include in the teaching plan for this client?
Frequency of urination will increase.
Soreness of throat might occur.
Itching of throat might occur.
Color of stools will become darker.
The Correct Answer is C
Choice A rationale:
Frequency of urination increasing is not typically associated with iron supplements. Iron supplements are more likely to cause constipation or darkening of stools due to increased iron content in the stool.
Choice B rationale:
Soreness of the throat is not a common side effect of iron supplements. While iron supplements can sometimes cause gastrointestinal discomfort, sore throat is not a usual manifestation.
Choice C rationale:
Itching of the throat might occur when taking iron supplements. Iron can irritate the gastrointestinal tract, and this irritation may extend to the throat, causing mild itching or discomfort.
Choice D rationale:
The color of stools becoming darker is a common side effect of iron supplements. Iron can darken stools and make them appear black, which is known as "black, tarry stools.”. This is due to the unabsorbed iron in the gastrointestinal tract.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Influenza vaccine is not contraindicated during pregnancy. In fact, the influenza vaccine is recommended for pregnant women because they are at higher risk of complications from influenza. It can protect both the pregnant woman and her baby from the flu.
Choice B rationale:
Tetanus vaccine is not contraindicated during pregnancy. In fact, tetanus vaccination during pregnancy is essential to protect both the mother and the newborn. Tetanus can be life-threatening, and vaccination is a preventive measure.
Choice C rationale:
Rhogam is contraindicated during pregnancy if the mother is Rh-negative and the baby is also Rh-negative. Rhogam is given to Rh-negative mothers to prevent sensitization to Rh-positive blood in case of fetal-maternal bleeding. If both the mother and baby are Rh-negative, there's no need for Rhogam during pregnancy.
Choice D rationale:
MMR (Measles, Mumps, Rubella) vaccine is contraindicated during pregnancy. It contains live attenuated viruses and is generally not recommended for pregnant women due to the theoretical risk of transmitting the virus to the developing fetus. It's typically given postpartum if the woman is not already immune to these diseases.
Correct Answer is A
Explanation
Choice A rationale:
Bacteriostatic. Sulfonamides are a class of antibiotics that work primarily as bacteriostatic agents. They inhibit the growth and reproduction of bacteria by blocking the synthesis of folic acid, which is essential for bacterial DNA and RNA synthesis. By slowing down bacterial growth, sulfonamides give the body's immune system a chance to eliminate the bacteria. Bacteriostatic antibiotics do not directly kill bacteria but rather impede their ability to multiply. This action is a key characteristic of sulfonamides.
Choice B rationale:
Bactericidal. Sulfonamides are not primarily bactericidal. Bactericidal antibiotics directly kill bacteria by disrupting their cell walls, protein synthesis, or other essential processes. Sulfonamides do not have this direct killing effect. They work by inhibiting folic acid synthesis and, as a result, slowing down bacterial growth. While this can eventually lead to bacterial death, the primary action of sulfonamides is bacteriostatic.
Choice C rationale:
Promotor of folic acid activity. This choice is not accurate. Sulfonamides do not promote folic acid activity; rather, they inhibit it. Sulfonamides are structural analogs of para-aminobenzoic acid (PABA), a precursor necessary for folic acid synthesis in bacteria. By competing with PABA, sulfonamides disrupt folic acid production in bacteria, ultimately leading to growth inhibition. Therefore, they are not promoters of folic acid activity.
Choice D rationale:
Bacterial cell metabolizer. Sulfonamides do not metabolize bacterial cells. Instead, they interfere with bacterial metabolism by blocking the synthesis of folic acid. This disruption affects the DNA and RNA synthesis of bacteria, which rely on folic acid derivatives. The primary action of sulfonamides is to inhibit this metabolic pathway, not to metabolize bacterial cells.
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