A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is fluoxetine 10 mg tablets. How many tablets should the nurse administer per dose?

(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

In this scenario, the client is most likely experiencing iron deficiency anemia, based on the diagnostic results that show low hemoglobin (10 mg/dL), low hematocrit (31%), and low serum ferritin (9 mcg/L), which are below the normal ranges for a pregnant individual.

The correct answers are:

Potential Condition:

• a. Iron deficiency anemia

Actions to Take:

• a. Administer iron supplements (to address the anemia and increase iron levels)
• b. Teach the client about a diet rich in iron (to support iron supplementation and improve dietary intake of iron)

Parameters to Monitor:

• a. Hemoglobin levels (to assess improvements in oxygen-carrying capacity and monitor for anemia)
• b. Hematocrit levels (to monitor the volume of red blood cells and further assess anemia)

By addressing the low iron levels, administering supplements, and providing dietary guidance, the nurse can help correct the anemia. Monitoring hemoglobin and hematocrit will help track the client’s progress in overcoming the condition.

Choice A reason:

Using the palm of the hand, feel for lumps using a circular motion: This instruction is incorrect. The correct method for a breast self-exam involves using the pads of the three middle fingers, not the palm of the hand. The fingers should move in a circular motion to feel for lumps or abnormalities.

Choice B reason:

Expect some breast dimpling or discharge with age: This is misleading and potentially harmful advice. While some changes in the breast can occur with age, dimpling or discharge can also be signs of breast cancer and should be reported to a healthcare provider immediately.

Choice C reason:

Breasts can be examined in the shower with soapy hands: This is correct. Examining the breasts in the shower with soapy hands can make it easier to feel for lumps or changes. The soapy water helps the fingers glide smoothly over the skin, making it easier to detect any abnormalities.

Choice D reason:

For those who have a menstrual cycle, perform a BSE every month, 2 or 3 days before menstruation: This instruction is incorrect. The best time to perform a breast self-exam is a few days after the menstrual period ends, when the breasts are least likely to be swollen or tender.