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 B
Explanation
Choice A rationale: Alopecia (hair loss) is not a common side effect associated with paroxetine use.
Choice B rationale: Drowsiness is a common adverse effect of paroxetine, a selective serotonin reuptake inhibitor (SSRI) antidepressant. Educating the client to monitor for this potential side effect is important.
Choice C rationale: Peripheral edema is an uncommon side effect of paroxetine use.
Choice D rationale: Tinnitus is not typically associated with paroxetine use.

Correct Answer is B
Explanation
Choice A rationale: Hyperglycemia is not typically associated with an acute infusion reaction to amphotericin B.
Choice B rationale: An acute infusion reaction to IV amphotericin B might manifest as fever, among other symptoms like chills, rigors, or headaches, indicating an immediate hypersensitivity reaction.
Choice C rationale: Pedal edema is not a typical manifestation of an acute infusion reaction to amphotericin B.
Choice D rationale: A dry cough is not a common symptom of an acute infusion reaction to amphotericin B.
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