Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication?
Take with a glass of milk.
Use a straw to ingest.
Swallow undiluted.
Mix with an antacid.
The Correct Answer is B
A) Taking ferrous sulfate elixir with a glass of milk is not recommended because milk can interfere with the absorption of iron. Iron absorption is enhanced in an acidic environment, and milk's ca’cium content can inhibit this process.
B) Using a straw to ingest the ferrous sulfate elixir is advisable because it can help minimize contact between the medication and the teeth, reducing the risk of staining. Iron supplements can cause discoloration of the teeth, and using a straw directs the liquid towards the back of the mouth, bypassing the teeth.
C) Swallowing ferrous sulfate elixir undiluted is the usual method of administration; however, doing so may increase the risk of staining the teeth due to direct contact with the oral mucosa and teeth. It is important to follow the healthcare provider's in’tructions regarding dosage and administration.
D) Mixing ferrous sulfate elixir with an antacid is generally not recommended unless specifically directed by the healthcare provider. Antacids containing calcium or magnesium can bind to iron, forming complexes that are poorly absorbed in the gastrointestinal tract, thereby reducing the effectiveness of iron supplementation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Decreased blood urea nitrogen (BUN) is not a typical adverse effect of gentamicin. Gentamicin is primarily associated with nephrotoxicity (kidney damage), which would manifest as an increased BUN and serum creatinine rather than a decrease.
B) Hearing loss is a well-known adverse effect of gentamicin, particularly when the drug reaches high concentrations in the inner ear (ototoxicity). Gentamicin can cause irreversible damage to the cochlear and vestibular organs, leading to sensorineural hearing loss and balance disturbances.
C) Reports of photophobia are not typically associated with gentamicin. Photophobia (sensitivity to light) may occur with certain eye conditions or central nervous system disorders but is not a direct adverse effect of gentamicin.
D) A white blood cell count of 6,000/mm3 falls within the normal reference range, so it does not indicate an adverse effect of gentamicin. Gentamicin is not known to directly affect white blood cell count.
Correct Answer is B
Explanation
A) Irritable bowel syndrome: While it's im’ortant to consider the client's me’ical history comprehensively, sumatriptan succinate is primarily contraindicated in clients with a history of coronary artery disease due to its potential vasoconstrictive effects.
B) Coronary artery disease: This is the correct response. Sumatriptan succinate is contraindicated in clients with a history of coronary artery disease or ischemic heart disease due to its potential to cause coronary vasospasm and increase the risk of myocardial ischemia or infarction.
C) Type 2 diabetes mellitus: While it's im’ortant to consider the client's ov’rall medical history, type 2 diabetes mellitus is not specifically contraindicated with sumatriptan succinate use.
D) Seasonal allergic rhinitis: While seasonal allergic rhinitis is relevant to the client's me’ical history, it is not directly related to the contraindications of sumatriptan succinate.
Therefore, the most crucial consideration before administering sumatriptan succinate is to determine if the client has a history of coronary artery disease or ischemic heart disease to avoid potential adverse cardiac effects.
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