A 14-year-old female is brought to her primary care physician after passing out at school after PE (physical Education) class. Based on her health history, symptoms and lab results, she is diagnosed with iron deficiency anemia.
Antacids and milk increase absorption
May turn stool a bright red or dark red color
Short Term: Only 1 to 2 months to replenish iron stores
Orange Juice (Vitamin C) increases absorption
Antacids and milk decrease absorption
Can cause constipation- Add a stool softener
Best absorbed on full stomach - Take with meals
Best absorbed on empty stomach- Take 1hr before meals
Correct Answer : D,E,F,H
Rationale:
A. Antacids and milk increase absorption: Calcium in milk and the alkaline nature of antacids actually interfere with iron absorption. Taking iron with these can significantly reduce its effectiveness in correcting anemia.
B. May turn stool a bright red or dark red color: Iron supplements do not cause bright red or dark red stools; those findings could indicate gastrointestinal bleeding. Iron may darken stools to a black or dark green hue, which is harmless and expected.
C. Short Term: Only 1 to 2 months to replenish iron stores: Iron deficiency anemia often requires several months (typically 3–6 months or longer) of supplementation to replenish both hemoglobin levels and iron stores. Stopping too soon increases the risk of relapse.
D. Orange Juice (Vitamin C) increases absorption: Vitamin C enhances the solubility and absorption of non-heme iron from supplements, making orange juice a beneficial choice to take with the iron pill. This can help improve treatment outcomes.
E. Antacids and milk decrease absorption: Both interfere with iron uptake in the gut calcium in dairy products binds with iron, and antacids raise stomach pH, reducing iron solubility. The patient should avoid taking these within a couple of hours of their iron dose.
F. Can cause constipation- Add a stool softener: Iron supplements frequently cause gastrointestinal side effects, especially constipation. Encouraging stool softeners, hydration, and dietary fiber can improve adherence and comfort.
G. Best absorbed on full stomach - Take with meals: Although taking with food may reduce gastrointestinal upset, it also decreases absorption by up to 50%, so this is not the preferred method unless stomach irritation is severe.
H. Best absorbed on empty stomach- Take 1 hr before meals: Iron is most effectively absorbed on an empty stomach when stomach acid levels are higher. Taking it about an hour before meals maximizes absorption, provided the patient tolerates it without excessive stomach discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Growth of pubic hair: Pubic hair growth, or pubarche, typically occurs after the initial signs of puberty and is a secondary sexual characteristic, not the first sign.
B. Growth spurt: The rapid increase in height follows the onset of puberty but usually comes after breast development has started.
C. Breast bud development: Thelarche, or breast bud development, is the earliest visible sign of puberty in girls, marking the start of hormonal changes and sexual maturation.
D. Menarche: Menarche, the onset of menstruation, occurs later in puberty after several other physical changes, including breast development and growth spurt.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Explanation
Rationale for Correct Choices:
• Cracked lips and strawberry tongue are hallmark mucocutaneous changes in Kawasaki disease, reflecting widespread inflammation of mucous membranes in the acute phase. These are often accompanied by conjunctival injection and rash.
• Aspirin and IV gamma globulin are the mainstay treatments for Kawasaki disease, reducing inflammation and significantly lowering the risk of coronary artery aneurysms when given early in the illness.
Rationale for Incorrect Choices:
• Petechiae and purpura rash are more commonly seen in platelet or clotting disorders such as idiopathic thrombocytopenic purpura or meningococcemia. Kawasaki disease typically presents with diffuse erythematous rash, not pinpoint hemorrhages.
• Polyarthritis may occur in the later stages of Kawasaki disease, but chorea is a neurological manifestation linked to rheumatic fever. This combination does not fit the acute presentation of Kawasaki disease.
• Corticosteroids and antibiotics are not first-line treatments for Kawasaki disease. Antibiotics are ineffective as the cause is not bacterial, and corticosteroids are generally reserved for IVIG-resistant cases.
• ACE inhibitors and NSAIDs are not standard therapy for Kawasaki disease. ACE inhibitors are used in hypertension or heart failure, and NSAIDs are not as effective as high-dose aspirin in reducing the acute inflammatory response in this condition.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.