A nurse is reinforcing teaching with a client who has a prescription for ferrous sulfate elixir.

Which of the following statements by the client indicates an understanding of the teaching?

"I can prevent nausea if I take the medication on an empty stomach."

"I will report black stools to my doctor."

"I will mix the medication with a full glass of water."

"I can prevent constipation if I drink more milk while taking this medication."

Answer and Explanation

The Correct Answer is C

a. Ferrous sulfate works best when you take it on an empty stomach. However, taking ferrous sulfate on an empty stomach can actually increase the risk of gastrointestinal side effects, such as nausea. It is often recommended to take it with food to reduce nausea, even though absorption is best on an empty stomach. Thus, this statement does not indicate proper understanding.

b. Black stools are a common side effect of taking iron supplements and are usually not a cause for concern unless they are tarry or associated with other symptoms, which could indicate gastrointestinal bleeding. Reporting black stools to the doctor is typically not necessary unless the stool is tarry and has other concerning symptoms like abdominal pain or bleeding. This statement reflects a misunderstanding of common side effects.

c. Mixing ferrous sulfate elixir with a full glass of water is advisable because it helps dilute the medication, making it easier to swallow and reducing the risk of gastrointestinal irritation. This practice also ensures that the medication is taken completely. This statement indicates a correct understanding of how to take the medication properly.

d. While staying hydrated can help manage constipation, milk is not recommended with iron supplements because calcium in milk can interfere with the absorption of iron. Instead, increasing water intake, eating a high-fiber diet, and considering other dietary measures would be better advice for preventing constipation.

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Correct Answer is D

Explanation

Varicella zoster, also known as chickenpox, is a highly contagious viral infection that can be spread through contact with respiratory secretions or fluid from the vesicular rash.

Contact precautions include wearing gloves and gown when in contact with the client or any potentially contaminated surfaces or materials, and isolating the client in a private room if possible.

Assigning the client to a negative pressure airflow room is not necessary unless the client has a compromised immune system or is experiencing severe respiratory symptoms.

Having visitors remain at least 0.91 m (3 feet) away from the client is not sufficient to prevent the spread of the virus.

Administering aspirin to a client with varicella zoster is contraindicated because it can increase the risk of developing Reye's syndrome, a potentially fatal condition.

A. A client who had a cerebrovascular accident 8 hr ago and received thrombolytic therapy B. A client who has cervical cancer and an internal radioactive implant C. A client who had a radical mastectomy 36 hr ago and has a surgical drain D. A client who had a lobectomy and has a chest tube drainage system

Correct Answer is C

Explanation

The client who had a radical mastectomy 36 hours ago and has a surgical drain is the most stable among the given options and is further along in the recovery process. This client may be ready for discharge with appropriate follow-up care instructions, and their bed can be utilized for the incoming clients who were injured in a tornado.

The client who had a cerebrovascular accident 8 hours ago and received thrombolytic therapy requires close monitoring and assessment for complications, such as bleeding or changes in neurological status.

The client with cervical cancer and an internal radioactive implant requires specific precautions and monitoring to ensure radiation safety and to manage any potential side effects or complications.

The client who had a lobectomy and has a chest tube drainage system needs continued monitoring of respiratory status and drainage, as well as close observation for any signs of complications or worsening condition.

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A nurse is reinforcing teaching with a client who has a prescription for ferrous sulfate elixir. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement?

Correct Answer is D

Explanation

A nurse on a medical-surgical unit is preparing to assist with the admission of clients who were injured in a tornado. Which of the following clients should the nurse recommend for discharge to make room for the new admissions?

Correct Answer is C

Explanation

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A nurse is reinforcing teaching with a client who has a prescription for ferrous sulfate elixir.

Which of the following statements by the client indicates an understanding of the teaching?