A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
"Drink the elixir using a straw to prevent staining your teeth."
"Take the medication with an antacid if it upsets your stomach."
"Increase your fiber intake to prevent constipation."
"Stop taking the medication if your stools become green or black."
"Increase your intake of dairy products to increase the absorption of this medication.
Correct Answer : A,C
A. "Drink the elixir using a straw to prevent staining your teeth.": Using a straw helps prevent the liquid iron from coming into direct contact with the teeth, reducing the risk of permanent staining, which is a common side effect of ferrous sulfate elixir.
B. "Take the medication with an antacid if it upsets your stomach.": Antacids decrease the absorption of iron. To optimize effectiveness, ferrous sulfate should be taken on an empty stomach or with vitamin C–rich foods, rather than with antacids.
C. "Increase your fiber intake to prevent constipation.": Iron supplements commonly cause constipation. Increasing dietary fiber, fluids, and physical activity can help manage this adverse effect and maintain regular bowel function.
D. "Stop taking the medication if your stools become green or black.": Dark stools are a common, harmless side effect of iron supplementation. Clients should be reassured rather than stopping the medication.
E. "Increase your intake of dairy products to increase the absorption of this medication.": Dairy products contain calcium, which inhibits iron absorption. Iron should be taken separately from calcium-rich foods or supplements to maximize absorption.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hypomagnesemia: Low magnesium levels are not an indication to stop a potassium infusion, although magnesium and potassium levels are related. Correction of magnesium may be necessary, but hypomagnesemia alone does not warrant discontinuation.
B. Neutropenia: A low white blood cell count is not directly related to potassium administration and does not require stopping the infusion.
C. Coughing: Respiratory symptoms like coughing are not a recognized complication of potassium chloride infusion and do not indicate the need to discontinue therapy.
D. Hyperkalemia: Elevated potassium levels can be life-threatening due to the risk of cardiac arrhythmias. If laboratory results or clinical signs indicate hyperkalemia, the potassium infusion should be immediately discontinued and appropriate interventions initiated.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"}}
Explanation
- Losartan: Losartan is an angiotensin II receptor blocker (ARB) used to lower blood pressure by relaxing blood vessels and reducing vascular resistance which is especially important for clients with high blood pressure.
- Moexipril: Moexipril is an angiotensin-converting enzyme (ACE) inhibitor that reduces blood pressure by blocking the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor.
- Metformin: Metformin is a first-line oral medication for type 2 diabetes. It decreases hepatic glucose production and improves insulin sensitivity in peripheral tissues. It is commonly prescribed for elevated fasting blood glucose and HbA1c.
- Liraglutide: Liraglutide is a GLP-1 receptor agonist that enhances glucose-dependent insulin secretion, slows gastric emptying, and promotes satiety. It is used to improve glycemic control and can aid in weight management in type 2 diabetes.
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