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."

Answer and Explanation

The Correct Answer is D

A. Taking ferrous gluconate with 8 ounces of milk is incorrect. Calcium in milk can interfere with the absorption of iron, reducing its effectiveness. The client should be instructed to avoid taking iron supplements with dairy products.

B. It is not necessary to notify the provider if stools turn black. Black stools are a common and harmless side effect of iron supplementation due to the unabsorbed iron in the gastrointestinal tract. The client should be informed of this expected side effect.

C. Taking an antacid with ferrous gluconate is incorrect. Antacids can reduce the absorption of iron by altering the stomach's pH. If the client experiences stomach upset, the medication can be taken with food, although this may slightly reduce absorption.

D. Staying upright for at least 15 minutes after taking ferrous gluconate is correct. This practice helps prevent esophageal irritation, which can occur if the medication remains in contact with the esophageal lining. This statement indicates an understanding of the teaching.

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Correct Answer is C

Explanation

Choice A rationale:

Slowing the infusion rate would not address the issue of infiltration.

Choice B rationale:

Flushing the IV catheter would not be effective in managing fluid infiltration.

Choice C rationale:

Elevating the extremity helps reduce swelling and limits the spread of infiltrated fluid into surrounding tissues.

Choice D rationale:

Applying pressure to the IV site might be appropriate for preventing bleeding during catheter removal, but it would not effectively manage fluid infiltration.

A. Store the remaining half of the pill in the automated medication dispensing system. B. Place the remaining half of the pill in the unit-dose package. C. Return the remaining medication to the facility's pharmacy. D. Dispose of the remaining medication while another nurse observes.

Correct Answer is D

Explanation

Choice A rationale:

Storing the remaining half of the pill could lead to potential confusion and medication errors in the future.

Choice B rationale:

Placing the remaining half of the pill in a unit-dose package is not recommended, as the packaging is intended for a single dose.

Choice C rationale:

Returning the remaining medication to the pharmacy is not necessary, and proper disposal is the appropriate action.

Choice D rationale:

Disposing of the remaining medication in the presence of another nurse ensures proper disposal and prevents the medication from being used inappropriately.

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