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 B
Explanation
When administering heparin subcutaneously, the nurse should grasp the skin between the thumb and forefinger throughout the injection to minimize bleeding following the injection.
Choice A is wrong because Use the Z-track method to administer the medication, is not the correct answer because the Z-track method is a technique used for intramuscular injections, not subcutaneous injections.
Choice C is wrong because Aspirate the syringe prior to injecting the heparin, is not the correct answer because aspiration is not necessary when administering heparin subcutaneously.
Choice D is wrong because Gently massage the site following the injection, is not the correct answer because massaging the injection site can increase the risk of bruising and bleeding.
Correct Answer is C
Explanation
The nurse should instruct the client to administer the medication through clothing if necessary.
In an emergency, an epinephrine auto-injector can be given through clothing.
Choice A is wrong because massaging the site after injection is not mentioned as something to avoid in the instructions for using an epinephrine auto-injector.
Choice B is wrong because the medication should be injected into the outer thigh, not the abdomen.
Choice D is wrong because aspiration prior to administration of the medication is not mentioned as a necessary step in the instructions for using an epinephrine auto-injector.
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