The nurse is educating a client on the use of oral ferrous sulfate. Which statement made by the client requires a need for further education?

"I will increase my fluid and fiber intake while I am taking iron tablets."

"I will take the tablets with water an hour before eating."

"I will immediately call my health care provider if my stools turn green."

"I will take a stool softener if I occasionally feel constipated."

Answer and Explanation

The Correct Answer is C

A. "I will increase my fluid and fiber intake while I am taking iron tablets.": This statement is correct as increasing fluid and fiber can help manage constipation, a common side effect of iron supplementation.
B. "I will take the tablets with water an hour before eating.": This is correct because taking iron supplements on an empty stomach can improve absorption, and water helps dissolve the tablets.
C. "I will immediately call my health care provider if my stools turn green.": This statement indicates a misunderstanding, as green stools are a common and harmless side effect of iron supplements. They are not typically a cause for concern unless accompanied by other symptoms.
D. "I will take a stool softener if I occasionally feel constipated.": This is a correct and appropriate approach, as stool softeners can help alleviate constipation caused by iron supplements.

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Correct Answer is ["A","C","D"]

Explanation

A. Record intake and output: This task is within the UAP's scope of practice as it involves documenting fluid balance.

B. Assess bowel sounds: This task requires clinical judgment and assessment skills and should be performed by a licensed nurse.

C. Obtain routine vital signs: This is appropriate for the UAP to perform, as it involves routine measurements that do not require clinical assessment.

D. Document the presence of edema: The UAP can document observable findings such as edema, which is within their scope of practice.

A. Absence of the client's gag reflex B. The client has a respiratory rate of eight (8) C. Loss of sensation at the 5th lumbar space D. The blood pressure is within 20% of the client's baseline

Correct Answer is B

Explanation

A. Absence of the client's gag reflex: This finding is not typically related to spinal anesthesia complications. The gag reflex is more pertinent to general anesthesia and its effects on the brainstem.
B. The client has a respiratory rate of eight (8): This is the correct choice. A low respiratory rate (bradypnea) could indicate significant complications from spinal anesthesia, such as respiratory depression, especially if the anesthesia affects the muscles involved in respiration.
C. Loss of sensation at the 5th lumbar space: This could be a normal effect of spinal anesthesia if the level of anesthesia was intended to cover this area, but it does not necessarily indicate a complication.
D. The blood pressure is within 20% of the client's baseline: A slight change in blood pressure within this range is generally not considered a severe complication of spinal anesthesia. Significant hypotension or instability would be more concerning.

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The nurse is educating a client on the use of oral ferrous sulfate. Which statement made by the client requires a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse asks the unlicensed assistive personnel (UAP) to assist in determining the fluid status of a client. Which of the following actions should the nurse delegate to the UAP? (Select All That Apply)

Correct Answer is ["A","C","D"]

Explanation

Which assessment data indicate the postoperative client who had spinal anesthesia is suffering a complication of the anesthesia?

Correct Answer is B

Explanation

Which client response best supports the decision to discharge the client from the Post-Anesthesia Care Unit?

A nurse is assessing a client 12 hours following an emergency abdominal surgery. Which assessment finding requires prompt collaboration with the primary health care provider?

A nurse working in the post-anesthesia care unit (PACU) is caring for a post-operative client that just had pelvic surgery. The nurse anticipates assessing for what post-operative complaint related to spinal anesthesia?

A 28-year-old client is admitted to the hospital with severe bleeding from a fractured femur. Which intravenous fluid should the nurse anticipate will be ordered for volume replacement?

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The nurse is reviewing serum laboratory values for a client who is scheduled for surgery tomorrow. Which value requires the nurse to promptly notify the surgeon?

After ensuring a postoperative client has a patent airway, what is the next most important nursing assessment?