A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?
"I should take this medication with 8 ounces of milk."
"I should notify my provider if my stools turn black."
"I should take an antacid with this medication to prevent stomach upset."
"I should stay upright for at least 15 minutes after taking this medication."
The Correct Answer is B
Choice A rationale:
Taking ferrous gluconate with milk can reduce its absorption due to the presence of calcium.
Choice B rationale:
Notifying the provider about black stools is important because it could indicate gastrointestinal bleeding, a potential side effect of iron supplementation.
Choice C rationale:
Taking an antacid with ferrous gluconate can reduce its absorption due to increased gastric pH.
Choice D rationale:
Staying upright after taking the medication helps prevent esophageal irritation, but it is not the most relevant response indicating understanding of the teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Morphine tablet is not likely to provide rapid relief within 1 hour for moderate to severe pain.
Choice B rationale:
Fentanyl transmucosa, such as a fentanyl lozenge or transmucosal patch, is a strong opioid analgesic that can provide rapid relief for breakthrough pain.
Choice C rationale:
A lidocaine patch is typically used for localized pain relief and might not provide the desired level of relief for systemic pain.
Choice D rationale:
Naloxone IV is an opioid antagonist used to reverse opioid overdose. It would not be appropriate to administer naloxone in this situation.
Correct Answer is C
Explanation
Choice A rationale:
Bradycardia (slow heart rate) is not a primary concern when administering lisinopril.
Choice B rationale:
Hypokalemia (low potassium levels) can be a concern with certain medications, but it is not directly related to lisinopril administration.
Choice C rationale:
Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor commonly used to treat heart failure. One of the potential side effects of ACE inhibitors is hypotension (low blood pressure), so the nurse should monitor the client's blood pressure closely during and after administration.
Choice D rationale:
Tinnitus (ringing in the ears) is not a common side effect of lisinopril.
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