A client is prescribed ferrous sulfate 325 mg BID. What education should the nurse provide about this medication? (Select All that Apply.)

Take the medication with milk to increase absorption.

Take the medication on an empty stomach

Eat foods high in fiber while on this medication.

Report stools that are dark in color immediately.

Eating citrus fruit and juices are recommended with meals.

Answer and Explanation

Correct Answer : B,C,D,E

A. Take the medication with milk to increase absorption:

This statement is incorrect. Taking ferrous sulfate with milk or dairy products is not recommended as they can decrease iron absorption. It's advisable to take iron supplements with water or juice, preferably on an empty stomach or with a small amount of food.

B. Take the medication on an empty stomach:

This statement is partially correct. While taking ferrous sulfate on an empty stomach can enhance absorption, some individuals may experience gastrointestinal discomfort or irritation. Therefore, it's often recommended to take iron supplements with a small amount of food to minimize potential side effects.

C. Eat foods high in fiber while on this medication:

This statement is generally correct. Consuming foods high in fiber can help prevent constipation, which is a common side effect of iron supplements. Including fiber-rich foods in the diet, such as fruits, vegetables, whole grains, and legumes, can promote regular bowel movements.

D. Report stools that are dark in color immediately:

This statement is correct. Dark or black stools can indicate the presence of digested blood, which may occur due to iron supplementation. It's important to report such changes to the healthcare provider promptly for further evaluation.

E. Eating citrus fruit and juices are recommended with meals:

This statement is correct. Citrus fruits and juices, such as oranges, grapefruits, and lemon juice, contain vitamin C, which can enhance iron absorption. Consuming vitamin C-rich foods or drinks along with iron supplements can help improve iron uptake by the body.

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Correct Answer is C

Explanation

A. Initiate cardiopulmonary resuscitation (CPR): CPR is not indicated in this scenario unless the client experiences a cardiac arrest. Chest pain during an exercise stress test does not automatically warrant CPR.

B. Administer sublingual nitroglycerin to allow the client to finish the test: Nitroglycerin is typically used to relieve angina (chest pain) associated with myocardial ischemia. However, in this case, the exercise stress test should be stopped to evaluate the cause of the chest pain before administering nitroglycerin.

C. Stop the test and monitor the client closely: This is the correct action. Chest pain during an exercise stress test may indicate myocardial ischemia (lack of blood flow to the heart muscle), and stopping the test allows for further assessment and evaluation of the client's condition.

D. Administer analgesia and slow the test: Administering analgesia (pain medication) is not appropriate without first determining the cause of the chest pain. Slowing the test may not address the underlying issue and could potentially worsen the client's condition if they are experiencing cardiac-related chest pain.

A. "Yes. Hypertension is prevalent among men; it is fortunate we caught this during your routine examination." B. "We will need to reevaluate your blood pressure because age places you at high risk for hypertension." C. "A single elevated blood pressure does not confirm hypertension. You will need to have your blood pressure reassessed several times before a diagnosis can be made. D. "You have no need to worry. Your pressure is probably elevated because you are being tested."

Correct Answer is C

Explanation

A. "Yes. Hypertension is prevalent among men; it is fortunate we caught this during your routine examination.": This response is premature as it assumes a diagnosis of hypertension based on a single elevated blood pressure reading without further assessment or confirmation.

B. "We will need to reevaluate your blood pressure because age places you at high risk for hypertension.": While age is a risk factor for hypertension, it is important not to jump to conclusions based on one blood pressure reading. Reevaluation and monitoring are necessary before making any definitive diagnoses or treatment decisions.

C. "A single elevated blood pressure does not confirm hypertension. You will need to have your blood pressure reassessed several times before a diagnosis can be made.": This response is appropriate because it acknowledges the need for further assessment and monitoring before determining if the client has hypertension. It also educates the client about the importance of multiple readings for an accurate diagnosis.

D. "You have no need to worry. Your pressure is probably elevated because you are being tested.": This response dismisses the client's concerns and does not provide accurate information about blood pressure assessment and hypertension diagnosis.

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A client is prescribed ferrous sulfate 325 mg BID. What education should the nurse provide about this medication? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is undergoing an exercise stress test. Prior to reaching the target heart rate, the client develops chest pain. What is the nurse most appropriate response

Correct Answer is C

Explanation

A 56-year-old male client at a screening event has a blood pressure reading of 146/96 mm Hg. Upon hearing the reading, the client states, "My pressure has never been this high. Do you think my doctor will prescribe medication to reduce it?" What is the nurse's best response?

Correct Answer is C

Explanation

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