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: Cardiac arrhythmias are a concern with severe hyponatremia but might not directly indicate treatment effectiveness.
Choice B rationale: While vomiting might improve with treatment, it's not a definitive indicator of correcting hyponatremia.
Choice C rationale: Chvostek's sign is more associated with calcium imbalances, not sodium levels.
Choice D rationale: Hyponatremia can cause neurological symptoms due to brain swelling. Improving cognition indicates that the hypertonic solution is likely correcting the low sodium levels and reducing brain swelling.

A. Montelukast B. Pantoprazole C. Isosorbide mononitrate D. Propranolol

Correct Answer is D

Explanation

Choice A rationale: Montelukast is a leukotriene receptor antagonist and doesn't directly interact with albuterol.
Choice B rationale: Pantoprazole is a proton pump inhibitor and does not directly interact with albuterol.
Choice C rationale: Isosorbide mononitrate is a nitrate used for heart conditions and does not directly interact with albuterol.
Choice D rationale: Albuterol, used for asthma, is a beta-agonist, while propranolol is a beta-blocker. Administering these medications together can counteract the effects of both drugs due to their opposing actions on beta receptors. It's crucial to withhold propranolol and inform the provider to avoid potential adverse effects.

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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 caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?

Correct Answer is D

Explanation

A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Correct Answer is D

Explanation

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