Ferrous Gluconate Client Teaching.
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 notify my provider if my stools turn black.”
"I should take this medication with 8 ounces of milk.”
"I should stay upright for at least 15 minutes after taking this medication.”
"I should take an antacid with this medication to prevent stomach upset.”
"I should take an antacid with this medication to prevent stomach upset.”
The Correct Answer is C
The correct answer is C. "I should stay upright for at least 15 minutes after taking this medication."
Choice A rationale:
Black stools are a common side effect of iron supplements and do not usually require notification of the provider unless accompanied by other symptoms such as pain or gastrointestinal bleeding.
Choice B rationale:
Iron supplements should not be taken with milk because calcium can interfere with the absorption of iron, reducing its effectiveness.
Choice C rationale:
Staying upright for at least 15 minutes after taking ferrous gluconate helps prevent the risk of esophageal irritation or discomfort, which indicates the client's correct understanding of this key instruction.
Choice D rationale:
Taking an antacid with ferrous gluconate is not recommended because antacids can interfere with the absorption of iron, reducing its efficacy.
Choice E rationale:
This is the same as Choice D and also incorrect for the same reason regarding the interaction between antacids and iron absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should administer the medication over 2 hr because amphotericin B lipid complex should be infused slowly intravenously.
Choice B is wrong because priming the tubing with 0.9% sodium chloride is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.
Choice C is wrong because discarding the medication if it is yellow is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.
Choice D is wrong because a gravity flow set is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.
Correct Answer is D
Explanation
The nurse should include paresthesias as an adverse effect of ergotamine in the teaching.
Paresthesias refers to a sensation of tingling, tickling, prickling, or burning of a person’s skin with no apparent physical cause.
Choice A is wrong because blurred vision is not a commonly reported adverse effect of ergotamine.
Choice B is wrong because hematuria is not a commonly reported adverse effect of ergotamine.
Choice C is wrong because tinnitus is not a commonly reported adverse effect of ergotamine.
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