A client has recently started ferrous sulfate 500 mg by mouth two times per day for anemia. Which of the following data would indicate to the nurse that the therapy is successful?

A. 47-year-old male construction foreman who takes atenolol: Atenolol is a beta-blocker used for hypertension and does not typically contribute to folic acid deficiency. This client’s occupation and medication are not directly associated with folate deficiency.

B. 43-year-old female with Crohn's disease: This client is at high risk for folic acid deficiency due to the malabsorption issues commonly associated with Crohn's disease. Inflammatory bowel diseases can impair the absorption of nutrients, including folate, making this client the most likely candidate for folic acid deficiency.

C. 58-year-old male who smokes one pack of cigarettes per day: Smoking is associated with various health risks, but it does not directly correlate with folic acid deficiency. This client may face other health issues, but folate deficiency is not specifically indicated.

D. 23-year-old female who drinks a glass of wine with dinner: Moderate alcohol consumption may affect folate metabolism, but a single glass of wine is unlikely to cause a significant deficiency. Other factors would need to be considered for a diagnosis of folate deficiency.

A. Remove the patch if a headache develops: While headaches can be a side effect of clonidine, removing the patch is not the recommended immediate action without further assessment. The patient should be advised to consult with their healthcare provider if they experience significant side effects.

B. Monitor weight on a daily basis: While weight monitoring is important for some medications, it is not a specific recommendation for clonidine. Patients should be informed to monitor for signs of fluid retention or significant weight changes, but daily weight monitoring is not typically required.

C. Place the patch on the anterior chest: The clonidine patch should be placed on a hairless area of skin, typically on the upper arm or chest, but the anterior chest is not specific enough. Patients should be instructed to follow the manufacturer's guidelines for proper placement.

D. Remove the patch as directed and inspect the skin: This is the best discharge instruction. Patients should be informed to remove the patch according to the prescribed schedule and to inspect the skin for any irritation or allergic reactions. Regular skin checks are important to prevent any adverse reactions from prolonged patch use.