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 C

Explanation

Glimepiride is a sulphonylurea. It stimulates the pancreatic beta cells to produce insulin. It has potential for causing hypoglycemiaa. Alcohol intoxication also causes hypoglycemia worsening the risk of hypoglycemia when used with glimepiride
A, B, D- do not have significant interaction with glimepiride.

A. “Take the medication on an empty stomach for better absorption” B. "You should plan to take this medication for at least 6 months." C. "Your doctor might need to reduce your theophylline dose While taking this medication." D. "Take the medication with an antacid to minimize stomach upset."

Correct Answer is C

Explanation

Cimetidine inhibits the cytochrome enzymes leading to increased blood concentration of other drugs like theophylline hence increased risk of toxicity. The dosage of the drugs should be lowered when one is on cimetidine.

A-Cimetidine should be taken with meals or at bedtime for more effective absorption and optimal therapeutic effect.

B. There is no specific duration mentioned for the treatment of duodenal ulcer with cimetidine.

D. Taking cimetidine with an antacid is not recommended as they decrease the absorption of cimetidine.

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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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