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 this medication with 8 ounces of milk."

"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 D

A. "I should stay upright for at least 15 minutes after taking this medication.": This advice is usually given with medications like bisphosphonates to prevent esophageal irritation. It is not necessary for ferrous gluconate.
B. "I should take this medication with 8 ounces of milk.": Iron supplements should not be taken with milk or other dairy products because they can interfere with iron absorption.
C. "I should take an antacid with this medication to prevent stomach upset.": Antacids can also interfere with iron absorption and should be taken separately from iron supplements.
D. "I should notify my provider if my stools turn black."
Ferrous gluconate is an iron supplement used to treat iron deficiency anemia. One common side effect of iron supplementation is the darkening of stools, often to a black color. This is not harmful but is important for the client to be aware of. It is due to the reaction of iron with the acids and enzymes in the gastrointestinal tract.

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Correct Answer is D

Explanation

A. Orthostatic hypotension refers to a drop in blood pressure upon standing up quickly. This is not a commonly associated adverse effect of pioglitazone.
B. Tinnitus refers to ringing in the ears and is not typically related to pioglitazone use.
C. Insomnia (difficulty sleeping) is not commonly reported as an adverse effect of pioglitazone.
D. Fluid retention
The nurse should plan to monitor the client for the adverse effects of fluid retention.
Pioglitazone is an oral antidiabetic medication that belongs to the thiazolidinedione class. One of the common adverse effects of pioglitazone is fluid retention or edema. This occurs due to its mechanism of action which can cause fluid buildup in the body's tissues, particularly in the lower extremities. Clients taking pioglitazone should be monitored for signs of edema, such as swelling in the ankles, legs, or feet. Monitoring for weight gain and any signs of worsening heart failure is also important.

A. Drowsiness B. Peripheral edema C. Tinnitus D. Alopecia

Correct Answer is A

Explanation

A. Drowsiness:
Correct Answer: This adverse effect is important for the client to monitor for when taking paroxetine.
Explanation: Paroxetine is an antidepressant medication classified as a selective serotonin reuptake inhibitor (SSRI). Drowsiness or sedation can be a common side effect of paroxetine and other SSRIs. The client should be advised to monitor their response to the medication and report excessive drowsiness to their healthcare provider.
B. Peripheral edema:
Incorrect Explanation: Peripheral edema is not a typical adverse effect of paroxetine.
Explanation: Peripheral edema is not a common side effect associated with paroxetine use. It's important to monitor for adverse effects, but this specific symptom is not usually associated with this medication.
C. Tinnitus:
Incorrect Explanation: Tinnitus (ringing in the ears) is not commonly associated with paroxetine use.
Explanation: Tinnitus is not a typical side effect of paroxetine. It's important for the client to report any new or unusual symptoms, but tinnitus is not one of the more common adverse effects of this medication.
D. Alopecia:
Incorrect Explanation: Alopecia (hair loss) is not commonly associated with paroxetine use.
Explanation: Alopecia is not a typical side effect of paroxetine. While hair loss can occur with certain medications, it is not a common concern with paroxetine.

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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 diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is A

Explanation

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