The nurse is caring for the client who has iron deficiency anemia.

Exhibits

Which of the following instructions should the nurse include? Select all that apply.

Take the medication on an empty stomach.

Increase sources of fiber in the diet.

Take the medication with a source of vitamin C.

Take an antacid within 30 min after medication administration.

Increase intake of milk and dairy products.

Answer and Explanation

Correct Answer : A,B,C

A. Take the medication on an empty stomach: Iron is best absorbed in an acidic environment, so taking it 1 hour before or 2 hours after meals optimizes absorption. Although some clients may experience GI upset, the empty stomach approach remains ideal for absorption.
B. Increase sources of fiber in the diet: Iron supplements commonly cause constipation. Increasing dietary fiber through fruits, vegetables, and whole grains helps counteract this effect and promotes regular bowel function.
C. Take the medication with a source of vitamin C: Vitamin C enhances iron absorption by converting it into its more absorbable ferrous form. Pairing the supplement with orange juice or other vitamin C-rich foods improves treatment effectiveness.
D. Take an antacid within 30 min after medication administration: Antacids increase gastric pH, which reduces iron solubility and absorption. They should be avoided within 2 hours before or after iron intake to maintain optimal efficacy of the supplement.
E. Increase intake of milk and dairy products: Dairy products are rich in calcium, which competes with iron for absorption in the small intestine. Consuming them close to iron administration diminishes the supplement’s effectiveness and should be avoided.

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Correct Answer is A

Explanation

A. ST segment: The ST segment is a critical indicator when assessing for myocardial infarction. Elevation or depression of the ST segment can signal myocardial ischemia or injury. ST elevation, in particular, is a hallmark of acute ST-elevation myocardial infarction (STEMI) and requires immediate medical intervention.
B. QRS duration: The QRS complex reflects ventricular depolarization and helps identify conduction delays such as bundle branch blocks. While it may show structural or electrical abnormalities, it does not specifically confirm myocardial infarction.
C. PR interval: The PR interval represents atrioventricular conduction time and is mainly evaluated for heart blocks or atrial conduction delays. It does not provide direct information regarding ischemic changes or infarction.
D. T wave: T wave changes, such as inversion or peaking, can be associated with ischemia or electrolyte disturbances. However, T wave abnormalities are less specific than ST segment changes and must be interpreted in conjunction with other ECG components.

A. 25-Hydroxyvitamin D 92 ng/mL (25 to 80 ng/mL) B. Albumin 3.1 g/dL (3.5 to 5 g/dL) C. WBC 12,000/mm3 (5,000 to 10,000/mm3) D. Hgb 18 g/dL (12 to 16 g/dL)

Correct Answer is B

Explanation

A. 25-Hydroxyvitamin D 92 ng/mL (25 to 80 ng/mL): This value is slightly above the normal range and may suggest supplementation but does not directly increase the risk of skin breakdown. Vitamin D supports skin health, but a mild elevation is not typically harmful in this context.
B. Albumin 3.1 g/dL (3.5 to 5 g/dL): Low albumin levels indicate poor nutritional status, which impairs wound healing and skin integrity. Clients with hypoalbuminemia are at higher risk for pressure injuries and delayed tissue repair, especially after a stroke with limited mobility.
C. WBC 12,000/mm³ (5,000 to 10,000/mm³): An elevated white blood cell count suggests infection or inflammation but is not a primary factor for skin breakdown. It may reflect a secondary issue but not the direct cause of impaired skin integrity.
D. Hgb 18 g/dL (12 to 16 g/dL): A slightly elevated hemoglobin level may indicate dehydration or high red blood cell concentration but does not contribute to increased skin breakdown risk. It is not a relevant marker for assessing pressure ulcer vulnerability.

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The nurse is caring for the client who has iron deficiency anemia. Exhibits Which of the following instructions should the nurse include? Select all that apply.

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The nurse is caring for the client who has iron deficiency anemia.

Exhibits

Which of the following instructions should the nurse include? Select all that apply.