A client is prescribed ferrous sulfate (Feosol). Which of the following adverse reactions should the nurse discuss with a client prior to the administration of this drug?
Constipation.
Fluid retention.
Fatigue.
Clay colored stools.
The Correct Answer is A
Choice A rationale:
Constipation is a potential adverse reaction to ferrous sulfate (Feosol), an iron supplement. Iron can cause gastrointestinal disturbances, including constipation, due to its effect on slowing down bowel movements and hardening of stool. It is important for the nurse to discuss this with the client before administering the drug to ensure the client is aware of this potential side effect.
Choice B rationale:
Fluid retention is not a common adverse reaction to ferrous sulfate. In fact, iron supplements are more likely to cause gastrointestinal issues like constipation rather than fluid retention.
Choice C rationale:
Fatigue is not a direct adverse reaction to ferrous sulfate. In some cases, iron deficiency can lead to fatigue, but this is usually a result of the underlying condition and not the medication itself.
Choice D rationale:
Clay-colored stools are not a typical adverse reaction to ferrous sulfate. This may indicate a potential issue with liver function or biliary obstruction but is not directly related to the iron supplement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
This choice is not accurate because the severity of the infection is not the primary reason for the development of a superinfection. Superinfections occur due to disruptions in the normal bacterial flora, not because the drug is less effective in severe infections.
Choice B rationale:
This choice is also inaccurate. Superinfections do not occur as the original infection begins to clear. They are a result of antibiotic therapy, particularly with drugs like fluoroquinolones that disrupt the normal bacterial balance.
Choice C rationale:
Choice D rationale:
This choice is not appropriate as it does not provide the patient with useful information. It's essential to educate the patient about why the superinfection occurred.
Correct Answer is B
Explanation
Choice A rationale:
Sedation Sedation is not typically associated with laxative use. Laxatives are primarily used to relieve constipation by promoting bowel movements, and sedation is not a common adverse reaction.
Choice B rationale:
Renal Impairment Renal impairment is a significant consideration when prescribing laxatives, especially those that may be excreted by the kidneys. In patients with renal impairment, there is a risk of drug accumulation, which could lead to potential adverse effects. The nurse should educate the client about this possibility to ensure their safety.
Choice C rationale:
Cramps Cramps are a possible adverse reaction to laxative use. Laxatives can cause gastrointestinal discomfort, including cramping and abdominal pain. However, it's essential to inform the client of this potential side effect so they can be prepared for it.
Choice D rationale:
Hepatic Impairment Hepatic impairment is not typically associated with adverse reactions to laxative use. Laxatives primarily affect the gastrointestinal system and do not directly impact the liver. Therefore, hepatic impairment is not a major concern when using laxatives.
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