A nurse is teaching a client who has iron deficiency anemia about ferrous sulfate. Which of the following instructions should the nurse include in the teaching?

Take the ferrous sulfate with an antacid.

Take the ferrous sulfate with yogurt.

Take the ferrous sulfate at bedtime.

Take the ferrous sulfate between meals.

Answer and Explanation

The Correct Answer is D

Taking ferrous sulfate between meals enhances its absorption as some food substances can interfere with iron absorption. Therefore, it is generally recommended to take ferrous sulfate on an empty stomach, typically 1 hour before meals or 2 hours after meals. However, if gastrointestinal upset occurs when taking ferrous sulfate on an empty stomach, it can be taken with a small amount of food to minimize discomfort.
A.   Antacids containing aluminum, calcium, or magnesium can bind with iron and reduce its absorption.
B.   Dairy products, including yogurt, can also inhibit iron absorption due to the presence of calcium.
C.   Taking it at bedtime increases the likelihood of gastrointestinal discomfort reducing its effectiveness due to interference from food.

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Correct Answer is A

Explanation

The normal appearance of regular insulin should be clear and colorless. Cloudy appearance or presence of particles indicates that the insulin has precipitated and may not be effective.
B. NPH insulin should be gently rolled between the palms to mix it but not shaken as this can lead to foaming and inaccuracy of the dose.
C. Injecting air into regular insulin first is not necessary. This step is typically done when drawing up NPH insulin to prevent the formation of air bubbles in the vial.
D. Regular insulin should be drawn up first to prevent contamination with the intermediate acting form of insulin

A. Heparin B. Vitamin K C. Warfarin D. Ferrous sulfate

Correct Answer is B

Explanation

Liver cirrhosis interferes with the synthesis of vitamin K dependent coagulation factors leading to a prolonged prothrombin time (PT). Administration of vitamin K improves clotting function by replenishing the deficient clotting factors.
A. Heparin is an anticoagulant medication that works by inhibiting blood clotting. It can further increase the risk of bleeding.
C. Warfarin is an oral anticoagulant medication commonly used to prevent blood clots and like heparin, increases risk of bleeding.
D. Ferrous sulfate is an iron supplement used to treat iron deficiency anemia but not effect on coagulation.

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A nurse is teaching a client who has iron deficiency anemia about ferrous sulfate. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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