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 take an antacid with this medication to prevent stomach upset."

"I should notify my provider if my stools turn black"

I should stay upright for at least 15 minutes after taking this medication

Answer and Explanation

The Correct Answer is C

A. "I should take this medication with 8 ounces of milk." This statement is incorrect. Calcium-containing substances, such as milk, can interfere with the absorption of iron. It's generally recommended to take iron supplements on an empty stomach or with vitamin C-containing foods to enhance absorption.
B. "I should take an antacid with this medication to prevent stomach upset." This statement is also incorrect. Antacids can reduce the absorption of iron. It's advisable to take iron supplements separately from antacids to optimize absorption.
C. "I should notify my provider if my stools turn black." (Correct Answer) This statement is correct. Iron supplements can cause stools to appear black or dark green. This is a common and harmless side effect related to the change in the color of iron in the gastrointestinal tract. However, it's important for the client to notify the healthcare provider to rule out any potential bleeding issues.
D. "I should stay upright for at least 15 minutes after taking this medication." This statement is not specific to ferrous gluconate. However, it may be relevant for medications that can cause esophageal irritation or reflux. In the case of ferrous gluconate, the primary concern is optimizing absorption by taking it on an empty stomach or with vitamin C-containing foods.

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Correct Answer is B

Explanation

A. Simvastatin 40 mg PO at bedtime: This prescription is clear and specifies the medication (Simvastatin), the dose (40 mg), route (PO – oral), and timing (at bedtime). There is no need for clarification.
B. Morphine 4 mg IV every 4 hr PRN for pain: The need for clarification arises here because "PRN" (pro re nata) means "as needed," and prescribing an IV medication on an as-needed basis might need further clarification regarding the specific indications and circumstances for administering the medication.
C. Levothyroxine 100 mcg PO every morning: This prescription is clear and specifies the medication (Levothyroxine), the dose (100 mcg), route (PO – oral), and timing (every morning). There is no need for clarification.
D. Acetaminophen 500 mg every 4 hr PRN for fever: Similar to option B, there might be a need for clarification regarding the specific indications and circumstances for administering acetaminophen on an as-needed basis. However, in many cases, PRN for fever is reasonable, so it may not be as critical as in the case of an IV pain medication.

A. Rotate the application site every week, B. The transdermal patch releases nicotine rapidly into the bloodstream, C. Leave the patch in place for 8 hr each day. D. The transdermal patch can cause insomnia

Correct Answer is A

Explanation

A. Rotate the application site every week (Correct Answer): This is the correct advice. Rotating the application site helps prevent skin irritation and enhances absorption. It's common practice to apply the patch to a different, clean, and hairless area of the skin each time it is changed.
B. The transdermal patch releases nicotine rapidly into the bloodstream: This statement is incorrect. The transdermal nicotine patch is designed to release nicotine gradually over an extended period. It provides a steady, controlled release of nicotine to help manage withdrawal symptoms and cravings.
C. Leave the patch in place for 8 hr each day: The specific duration for wearing a nicotine patch can vary depending on the product. However, it's generally recommended to wear the patch for 16 to 24 hours, depending on the product's instructions. Leaving it on for 8 hours only may not provide adequate coverage for the entire day.
D. The transdermal patch can cause insomnia: While insomnia is a potential side effect of nicotine replacement therapy, including the patch, it is not a universal experience for everyone. Insomnia is more likely to occur if the patch is worn continuously, including during the night. Following proper usage guidelines, such as removing the patch before bedtime, can help minimize this side effect.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing medication prescriptions for a client. For which of the following entries on the client's medication administration record should the nurse request clarification?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who wants to stop smoking and has purchased a transdermal smoking patch. Which of the following information should the nurse provide?

Correct Answer is A

Explanation

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