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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Metronidazole is not a beta-lactam antibiotic and does not typically cause cross-reactivity in individuals with penicillin allergies.
Choice B rationale: Clarithromycin is a macrolide antibiotic and is not associated with cross-reactivity in penicillin-allergic individuals.
Choice C rationale: Vancomycin is not a beta-lactam antibiotic and does not typically cause cross-reactivity in individuals with penicillin allergies.
Choice D rationale: Ceftriaxone belongs to the beta-lactam antibiotic class, which includes penicillins, and can potentially cause cross-reactivity in individuals with a history of anaphylactic reactions to penicillin.
Correct Answer is B
Explanation
A. Tinnitus, or ringing in the ears, is not a common adverse effect of ergotamine, though it may occur with some other medications used for migraines. Ergotamine primarily affects the blood vessels and nervous system.
B. Paresthesias, which involve tingling, numbness, or a burning sensation, can occur as an adverse effect of ergotamine due to its vasoconstrictive properties. Clients should be informed to report any unusual sensations in their extremities.
C. Blurred vision is not typically associated with ergotamine use. It could be a sign of another underlying condition or side effect from other medications but is not directly related to ergotamine.
D. Hematuria, or blood in the urine, is not a known adverse effect of ergotamine. The medication's effects are mainly related to the vascular system, not the kidneys or urinary tract.
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