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 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 take this medication with 8 ounces of milk."

“I should notify my provider if my stools turn black."

Answer and Explanation

The Correct Answer is A

A.   “I should stay upright for at least 15 minutes after taking this medication.": This statement is correct as remianing upright reduces the risk of reflux that is common after taking the medication.
B.   “I should take an antacid with this medication to prevent stomach upset.": Antacids can decrease the absorption of iron, so taking them with ferrous gluconate is not recommended.
C.   "I should take this medication with 8 ounces of milk.": Milk can inhibit the absorption of iron, so taking ferrous gluconate with milk is not advised. It's better to take it with water or juice.
D.   “I should notify my provider if my stools turn black.": This statement is incorrect as black stools are an expected side effect of the medication.

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Correct Answer is B

Explanation

A. Warming the formula to room temperature would not address hyperkalemia.

B. Hyperkalemia can lead to cardiac dysrhythmias, so placing the client on a cardiac monitor

allows for continuous cardiac monitoring to detect any changes or abnormalities in heart rhythm.

C. Administering IV dextrose is not typically indicated for hyperkalemia. Instead, insulin may be administered with dextrose to promote cellular uptake of potassium.
D. Requesting a lactose-free formula is not relevant to the management of hyperkalemia.

A. The client has a history of anaphylaxis following a bee sting. B. The client has a first-degree relative who has Paget's disease. C. The client is postmenopausal. D. The client has immobility that restricts her to a supine position.

Correct Answer is D

Explanation

A. The client has a history of anaphylaxis following a bee sting: This finding is not directly related to the safety of taking alendronate for osteoporosis.
B. The client has a first-degree relative who has Paget's disease: While family history is

important in assessing the risk of osteoporosis, it is not a direct safety risk for taking alendronate.

C. The client is postmenopausal: Postmenopausal status is a common indication for the use of alendronate to prevent or treat osteoporosis. It is not a safety risk.
D. The client has immobility that restricts her to a supine position: Immobility, especially in a supine position, can increase the risk of esophageal irritation and reflux when taking alendronate. Therefore, this finding poses a safety risk for the client when taking this medication.

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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 is receiving parenteral nutrition and identifies that the client has hyperkalemia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a female client who asks about a prescription for alendronate for the treatment of osteoporosis. Which of the following findings should the nurse identify as a safety risk for the client when taking this medication?

Correct Answer is D

Explanation

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