A client complains of constipation after starting oral ferrous sulfate. Which nursing intervention is appropriate?
Take iron with a laxative each time
Encourage high-fiber foods and fluids
Decrease fluid intake
Stop the iron supplement
The Correct Answer is B
A. Take iron with a laxative each time: Routine use of laxatives with every dose is not recommended as it may cause diarrhea or electrolyte imbalances. Laxatives should only be used if dietary measures are insufficient and under provider guidance.
B. Encourage high-fiber foods and fluids: Increasing dietary fiber (fruits, vegetables, whole grains) and fluid intake helps prevent or relieve iron-induced constipation. This is a safe and effective first-line nursing intervention to manage this common side effect.
C. Decrease fluid intake: Reducing fluid intake worsens constipation and can lead to dehydration, which exacerbates gastrointestinal side effects. Adequate hydration is important while taking iron supplements.
D. Stop the iron supplement: Discontinuing iron without provider consultation can lead to untreated iron-deficiency anemia. Side effects are typically managed with dietary adjustments or timing modifications rather than abrupt cessation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Weight loss despite increased appetite: This finding is more consistent with hyperthyroidism, where increased metabolism leads to weight loss despite increased caloric intake. It is not typical in hypothyroidism.
B. Bradycardia and cold intolerance: Hypothyroidism slows metabolic processes, leading to a decreased heart rate (bradycardia) and sensitivity to cold due to reduced heat production. These are classic signs of underactive thyroid function.
C. Heat intolerance and sweating: These symptoms are associated with hyperthyroidism, where increased metabolism generates excess heat and promotes diaphoresis. They are inconsistent with hypothyroidism.
D. Exophthalmos and restlessness: Exophthalmos is a hallmark of Graves’ disease (hyperthyroidism), and restlessness reflects increased sympathetic activity. These are not typical manifestations of hypothyroidism.
Correct Answer is B
Explanation
A. Colchicine: Colchicine is used to treat acute gout flares by reducing inflammation through inhibition of neutrophil activity. It does not lower serum uric acid levels and is not effective for long-term urate control. Its role is symptom management rather than urate reduction.
B. Allopurinol: Allopurinol is a xanthine oxidase inhibitor that decreases uric acid production. It is used for long-term management of chronic gout and prevention of hyperuricemia-related complications. This medication directly targets elevated serum uric acid levels.
C. Rituximab: Rituximab is an immunosuppressive monoclonal antibody used in certain autoimmune and oncologic conditions. It has no role in the management of gout or uric acid metabolism. Its mechanism does not affect purine breakdown.
D. Morphine: Morphine is an opioid analgesic used for severe pain control. It does not influence uric acid production or excretion. Pain management alone does not address hyperuricemia in chronic gout.
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