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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale: Calcium levels might not directly reflect the effectiveness of sodium polystyrene sulfonate.
Choice B rationale: Magnesium levels might not directly reflect the effectiveness of sodium polystyrene sulfonate.
Choice C rationale: Sodium levels might not directly reflect the effectiveness of sodium polystyrene sulfonate.
Choice D rationale: Sodium polystyrene sulfonate is used to lower potassium levels in conditions like hyperkalemia. A decrease in potassium levels (within normal range)
indicates effectiveness.

A. Morphine B. Acetaminophen C. Ibuprofen D. Aspirin

Correct Answer is A

Explanation

Choice A rationale: Morphine is a potent opioid commonly used to manage moderate to severe cancer-related pain due to its effectiveness in controlling pain intensity.

Choice B rationale: Acetaminophen might not be adequate for managing moderate cancer pain compared to opioids like morphine.

Choice C rationale: Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), might not be sufficient for moderate to severe cancer-related pain.

Choice D rationale: Aspirin, another NSAID, might not provide adequate pain relief for moderate to severe cancer pain.

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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 the laboratory results of a client who received a dose of sodium polystyrene sulfonate. Which of the following findings should the nurse identify as an indication that the medication has been effective?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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