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.”

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale: Drinking 14 glasses of water daily is not specifically harmful for patients with thrombocytopenia, though it is important to ensure fluid intake is balanced with the individual's needs. However, excessive water intake is generally not related to increased bleeding risks, which is a primary concern for patients with low platelet counts.

Choice B rationale: Shaving once a day using an electric razor is an appropriate precaution for patients with thrombocytopenia. Electric razors are less likely to cause cuts compared to traditional razors, thereby reducing the risk of bleeding. This measure is important for individuals with low platelet counts to minimize the risk of bleeding from minor injuries.

Choice C rationale: Using an alcohol-based mouthwash twice a day is not recommended for patients with thrombocytopenia. Alcohol-based mouthwash can cause dryness and irritation of the mucous membranes, which may lead to bleeding, especially in individuals with low platelet counts. Instead, non-alcoholic mouthwashes should be used to maintain oral hygiene without the risk of causing mucosal damage.

Choice D rationale: Brushing teeth with a soft-bristle toothbrush twice a day is recommended for patients with thrombocytopenia. Soft-bristle toothbrushes help reduce the risk of gum injury and bleeding, which is important for individuals with low platelet counts. Maintaining good oral hygiene with minimal trauma is crucial for these patients

A. 0.459% saline. B. 0.9% NaCl. C. 5% dextrose in 0.45% saline. D. Dextran.

Correct Answer is B

Explanation

Choice A rationale:

0.459% saline is a hypotonic solution with a lower concentration of salt than the normal physiological range (0.9% NaCl) Hypotonic solutions can cause red blood cells to swell and potentially burst due to the osmotic imbalance, making it inappropriate for hypovolemic shock.

Choice B rationale:

0.9% NaCl, also known as normal saline, is an isotonic solution with a salt concentration similar to the body's own fluids. Isotonic solutions are ideal for hypovolemic shock as they help to expand the intravascular volume without causing significant shifts of fluid and electrolytes within the body compartments.

Choice C rationale:

5% dextrose in 0.45% saline is a hypotonic solution with a low salt concentration. While it provides some fluid replacement, it doesn't address the electrolyte imbalance adequately, which is crucial in hypovolemic shock.

Choice D rationale:

Dextran is a plasma volume expander but is not the first-line choice for hypovolemic shock. It might be used in certain situations, but isotonic crystalloids like 0.9% NaCl are preferred for rapid volume expansion and stabilization of the patient.

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The nurse is teaching a patient about the administration of liquid iron supplements. Which response by the patient indicates the need for additional teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides education to a patient with thrombocytopenia about precautions to be taken at home. The nurse identifies that further teaching is needed when the patient performs which action?

Correct Answer is C

Explanation

Which fluid replacement therapy would the nurse prepare to administer for a patient who is exhibiting clinical manifestations of hypovolemic shock?

Correct Answer is B

Explanation

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The nurse is teaching a patient about the administration of liquid iron supplements.
Which response by the patient indicates the need for additional teaching?