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 C
Explanation
The nurse who identifies the error is responsible for completing an incident report.
Initial reports often come from the frontline personnel directly involved in an event or the actions leading up to it.
Choice A is wrong because the charge nurse is not necessarily responsible for completing an incident report.
Choice B is wrong because the quality improvement committee is not responsible for completing an incident report.
Choice D is wrong because the nurse who caused the error may not be aware of it and therefore may not be responsible for completing an incident report.
Correct Answer is D
Explanation
Confusion is the priority for the nurse to report to the provider because it can be a sign of a serious side effect of citalopram.
Choice A is wrong because weight loss is not mentioned as a serious side effect of citalopram.
Choice B is wrong because bruxism is not mentioned as a serious side effect of citalopram.
Choice C is wrong because insomnia is a common side effect of citalopram but not considered a serious side effect that requires immediate medical attention.
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