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."
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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Related Questions
Correct Answer is C
Explanation
A. Constipation: Constipation is not a commonly reported adverse effect of clopidogrel.
Therefore, it is not necessary to instruct the client to monitor and report constipation as an adverse effect.
B. Weight loss: Weight loss is not a commonly reported adverse effect of clopidogrel. Therefore, it is not necessary to instruct the client to monitor and report weight loss as an adverse effect.
C. Bruising: Clopidogrel is an antiplatelet medication that inhibits platelet aggregation.
Therefore, one of the potential adverse effects is an increased risk of bleeding, which can
manifest as easy bruising or prolonged bleeding from minor injuries. Instructing the client to monitor and report bruising is important for early detection of bleeding complications.
D. Blurred vision: Blurred vision is not a commonly reported adverse effect of clopidogrel.
Therefore, it is not necessary to instruct the client to monitor and report blurred vision as an adverse effect.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}
Explanation
Taking the medication with orange juice (a) is advisable as vitamin C can enhance iron absorption
Notifying the provider about black stools is appropriate because it can indicate gastrointestinal bleeding, a potential side effect of ferrous sulfate.
Avoiding antacids while on ferrous sulfate is important because they can decrease the absorption of iron, so this statement demonstrates understanding.
Rinsing the mouth after taking ferrous sulfate can help prevent staining of the teeth, indicating understanding.
Taking the medication on an empty stomach enhances its absorption, so not understanding this instruction suggests a lack of comprehension.
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