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.)

"Take the medication with an antacid if it upsets your stomach."

"Stop taking the medication if your stools become green or black."

"Drink the elixir using a straw to prevent staining your teeth."

"Increase your fiber intake to prevent constipation.

"Increase your intake of dairy products to increase the absorption of this medication

Answer and Explanation

Correct Answer : B,C,D

A. "Take the medication with an antacid if it upsets your stomach."
Explanation: Antacids may interfere with the absorption of iron. It is generally recommended to take iron supplements on an empty stomach or with vitamin C-containing foods to enhance absorption.
B. "Stop taking the medication if your stools become green or black."
Explanation: Ferrous sulfate can cause stools to become dark green or black, which is a normal and expected side effect. However, excessive black, tarry stools may indicate gastrointestinal bleeding and should be reported to the healthcare provider.
C. "Drink the elixir using a straw to prevent staining your teeth."
Explanation: Ferrous sulfate elixir can stain the teeth. Using a straw helps bypass direct contact with the teeth, reducing the risk of staining.
D. "Increase your fiber intake to prevent constipation."
Explanation: Iron supplements, including ferrous sulfate, can cause constipation. Increasing fiber intake can help alleviate constipation.
E. "Increase your intake of dairy products to increase the absorption of this medication."
Explanation: Calcium-containing foods, such as dairy products, can inhibit the absorption of iron. It is advisable to take iron supplements separately from calcium-containing foods.

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Correct Answer is C

Explanation

A. Orthostatic hypotension:
Orthostatic hypotension is not a common adverse effect of pioglitazone. This condition is more associated with medications that affect blood pressure or volume.
B. Tinnitus:
Tinnitus (ringing in the ears) is not typically associated with pioglitazone. Adverse effects of pioglitazone are more related to its impact on glucose metabolism and other metabolic processes.
C. Fluid retention:
This is the correct answer. Fluid retention is a known adverse effect of pioglitazone. It can lead to edema, weight gain, and, in some cases, exacerbation of heart failure. Monitoring for signs of fluid retention is important during treatment with pioglitazone.
D. Insomnia:
Insomnia is not a common adverse effect of pioglitazone. Adverse effects are more related to metabolic processes, and sleep disturbances are not typically associated with this medication.

A. Anxiety disorder B. History of deep-vein thrombosis C. Ovarian cysts D. client age of 36 years

Correct Answer is B

Explanation

A. Anxiety disorder: Anxiety disorder is generally not a contraindication for the use of oral contraceptives. However, it's essential to consider the overall health of the individual and potential interactions with medications used to manage anxiety.
B. History of deep-vein thrombosis (Correct Answer): A history of deep-vein thrombosis (DVT) is a significant contraindication to the use of oral contraceptives. Estrogen-containing contraceptives can increase the risk of blood clot formation, and individuals with a history of DVT are at an elevated risk for thrombotic events.
C. Ovarian cysts: Ovarian cysts alone are not a contraindication for oral contraceptives. In fact, oral contraceptives are sometimes prescribed to help regulate menstrual cycles and prevent the formation of certain types of ovarian cysts.
D. Client age of 36 years: Age alone is not a strict contraindication for oral contraceptives. However, as women age, especially beyond 35 years, healthcare providers may consider other risk factors such as smoking, hypertension, and cardiovascular health when prescribing oral contraceptives.

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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.)

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 C

Explanation

A nurse is reviewing the medical record of a client who is requesting an oral contraceptive. Which of the following findings is a contraindication for the use of oral contraceptives?

Correct Answer is B

Explanation

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