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 D
Explanation
Methimazole is an antithyroid medication that controls the overproduction of thyroid hormone in Graves’ disease.
One of the symptoms of Graves’ disease is difficulty sleeping due to the overproduction of thyroid hormone.
After taking methimazole for 2 months, the client’s thyroid hormone levels should decrease, leading to an improvement in sleep.
Choice A is wrong because weight loss is a symptom of Graves’ disease due to the overproduction of thyroid hormone.
Methimazole controls the overproduction of thyroid hormone and may lead to weight gain.
Choice B is wrong because warmer skin is a symptom of Graves’ disease due to the overproduction of thyroid hormone.
Methimazole controls the overproduction of thyroid hormone and may lead to cooler skin.
Choice C is wrong because an increase in pulse rate is a symptom of Graves’ disease due to the overproduction of thyroid hormone.
Methimazole controls the overproduction of thyroid hormone and may lead to a decrease in pulse rate.
Correct Answer is C
Explanation
- A. Assist the client to a left lateral position.
- This is generally used for clients at risk of aspiration, and it's not indicated based on the lithium level.
- B. Implement fluid restrictions.
- Fluid restrictions are usually implemented when there is a risk of fluid overload or hyponatremia, and not in this case. In fact, dehydration can raise lithium levels to toxic levels, so proper hydration is important.
- C. Request a dosage increase from the provider.
- While 0.6 mEq/L is within the therapeutic range, some providers may want to see a level slightly higher for maintenance. So requesting a dosage increase from the provider is the correct action.
- D. Prepare the client for hemodialysis.
- Hemodialysis is used to remove lithium from the blood in cases of severe lithium toxicity, which is indicated by levels significantly higher than 1.5 mEq/L. This is not needed when the lithium level is 0.6 mEq/L.
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