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 stay upright for at least 15 minutes after taking this medication."
"I should take an antacid with this medication to prevent stomach upset."
"I should notify my provider if my stools turn black."
The Correct Answer is B
A. Taking ferrous gluconate with milk is not advised because calcium in milk can interfere with the absorption of iron. The client should avoid taking iron supplements with calcium-containing products.
B. Staying upright for at least 15 minutes after taking ferrous gluconate can help prevent esophageal irritation or discomfort. This instruction is crucial for iron supplements, as lying down immediately after ingestion can cause reflux or esophagitis.
C. Taking an antacid with ferrous gluconate can reduce its absorption. The client should be advised to avoid taking antacids, calcium supplements, or certain medications close to the time of iron intake.
D. Black stools are a common and harmless side effect of iron supplementation. The client should be informed that this is expected and not a reason to notify the provider unless there are additional concerning symptoms, such as abdominal pain or constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Insomnia is not a typical side effect associated with pioglitazone use.
Choice B rationale: Orthostatic hypotension is not a commonly reported adverse effect of pioglitazone.
Choice C rationale: Tinnitus is not a recognized side effect of pioglitazone.
Choice D rationale: Pioglitazone, an antidiabetic medication, is known for its potential side effect of fluid retention, making it essential for nurses to monitor clients for signs of edema or fluid overload.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale: Polypharmacy, the use of multiple medications, increases the risk of adverse drug reactions due to potential drug interactions and increased complexity in medication management for older adults.
Choice B rationale: The absorption rate generally decreases in older adults.
Choice C rationale: Multiple health problems can alter the pharmacokinetics and pharmacodynamics of drugs.
Choice D rationale: Decreased renal function can impair the excretion of drugs and their metabolites, leading to accumulation and toxicity.
Choice E rationale: Body fat percentage might impact drug distribution but is not directly a risk factor for adverse drug reactions.
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