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 B

Explanation

A. Administer 2 sprays of nicotine nasal spray in each nostril with each dose: Nicotine nasal spray is administered as a single spray in each nostril with each dose.
B. Do not drink beverages while sucking on a nicotine lozenge.
This instruction is correct because when using nicotine lozenges, the client should not drink beverages while the lozeng is being dissolved in the mouth. The lozenge should be placed in the mouth and allowed to dissolve slowly over a period of about 20-30 minutes. Consuming beverages can wash away the nicotine from the lozenge too quickly, reducing its effectiveness.
C. Chew nicotine gum for 10 min before spitting it out: Nicotine gum should be chewed for a specific time period (about 30 minutes) until the nicotine is released, and then it should be parked between the cheek and gum until the taste fades, at which point it can be chewed again.
D. Change the nicotine patch every other day: Nicotine patches are usually changed daily, and the site of application should be rotated to avoid skin irritation.

A. Place the medications on the back of the client's tongue. B. Tilt the client's head back when administering the medications. C. Administer more than one pill to the client at a time. D. Mix the medications with a semisolid food for the client.

Correct Answer is D

Explanation

A. Place the medications on the back of the client's tongue:
Incorrect Explanation: Placing medications on the back of the tongue can increase the risk of choking and aspiration, especially in individuals with dysphagia.
Explanation: Individuals with dysphagia have difficulty swallowing and are at an increased risk of choking or aspirating (inhaling) substances into the lungs. Placing medications on the back of the tongue can be unsafe and is not recommended.
B. Tilt the client's head back when administering the medications:
Incorrect Explanation: Tipping the head back can worsen swallowing difficulties and increase the risk of choking or aspiration.
Explanation: Tipping the head back can compromise the natural swallowing mechanism and increase the risk of aspiration. It's important to keep the client's head in an upright position to aid safe swallowing.
C. Administer more than one pill to the client at a time:
Incorrect Explanation: Administering multiple pills at once can increase the risk of choking and aspiration, especially in individuals with dysphagia.
Explanation: Administering multiple pills at once can overwhelm the client's ability to swallow safely. This action can increase the risk of choking and aspiration, which is especially dangerous for individuals with dysphagia.
D. Mix the medications with a semisolid food for the client:
Correct Answer: This action is appropriate and safer for administering medications to an older adult client with dysphagia.
Explanation: Mixing medications with semisolid food, such as applesauce or yogurt, can help the client swallow more easily and reduce the risk of choking or aspiration. It's important to check with the healthcare provider or pharmacist to ensure that the medications can be mixed with food and that there are no interactions.

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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

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