The nurse is teaching a patient about the administration of liquid iron supplements.
Which response by the patient indicates the need for additional teaching?
"I will take my iron supplement with a straw.”
"I will take my iron supplement at bedtime.”
"I will take my iron supplement along with meals.”
"I will take my iron supplement along with orange juice.”
The Correct Answer is C
The correct answer is choice c. “I will take my iron supplement along with meals.”
Choice A rationale:
Taking iron supplements with a straw is recommended to prevent staining of the teeth, which is a common side effect of liquid iron supplements.
Choice B rationale:
Taking iron supplements at bedtime can be beneficial for some patients, especially if they experience gastrointestinal discomfort when taking iron during the day.
Choice C rationale:
Taking iron supplements with meals can decrease the absorption of iron. Iron is best absorbed on an empty stomach, although it can be taken with food if gastrointestinal upset occurs.
Choice D rationale:
Taking iron supplements with orange juice is recommended because vitamin C enhances the absorption of iron.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Metabolic acidosis is characterized by a low pH (<7.35) and a low bicarbonate level (<22 mEq/L) The given arterial blood gas (ABG) values indicate a pH of 7.48 (which is alkalotic), a PaCO2 of 38 (within the normal range of 35-45 mm Hg), and an HCO3- of 30 (which is elevated) These values indicate metabolic alkalosis, not metabolic acidosis.
Choice B rationale:
Metabolic alkalosis is characterized by a high pH (>7.45) and an elevated bicarbonate level (>26 mEq/L) The given ABG values indicate a pH of 7.48 (which is alkalotic) and an elevated HCO3- of 30, indicating metabolic alkalosis. This condition can result from excessive loss of acids (e.g., vomiting) or excessive intake of bicarbonate or alkali substances.
Choice C rationale:
Respiratory acidosis is characterized by a low pH (<7.35) and a high PaCO2 (>45 mm Hg) The given ABG values indicate a normal pH of 7.48 and a PaCO2 of 38 (within the normal range), ruling out respiratory acidosis.
Choice D rationale:
Respiratory alkalosis is characterized by a high pH (>7.45) and a low PaCO2 (<35 mm Hg) The given ABG values indicate a pH of 7.48 (which is alkalotic) and a PaCO2 of 38 (within the normal range), ruling out respiratory alkalosis.
Correct Answer is D
Explanation
Choice A rationale:
Adequate platelet production does not explain the prolonged bleeding times in von Willebrand disease. These patients often have normal platelet counts, but their platelets do not function properly due to the absence or dysfunction of von Willebrand factor.
Choice B rationale:
Deficiency in intrinsic clotting system factor is not the primary cause of prolonged bleeding times in von Willebrand disease. The deficiency or dysfunction of von Willebrand factor, a protein that helps platelets adhere to the blood vessel walls and clot properly, is the key issue in this disorder.
Choice C rationale:
Impairment of the thrombin fibrinogen reaction does not directly relate to von Willebrand disease. This disorder primarily involves platelet dysfunction and variable factor VIII deficiencies, leading to prolonged bleeding times.
Choice D rationale:
Variable factor VIII deficiencies and platelet dysfunction are characteristic of von Willebrand disease. Factor VIII helps with blood clotting, and its deficiency, along with impaired platelet function, contributes to the prolonged bleeding times in patients with von Willebrand disease.
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