A client is receiving epoetin alfa therapy as part of the management of anemia. The nurse should monitor the client for which potential side effect of this medication?

Hypertension

Hyperkalemia

Hypoglycemia

Hypocalcemia

Answer and Explanation

The Correct Answer is A

A) This choice is correct. Epoetin alfa is a synthetic form of erythropoietin, a hormone that stimulates red blood cell production. One of the potential side effects of this medication is an increase in blood pressure (hypertension).

B) This choice is incorrect because hyperkalemia (high potassium levels) is not a common side effect of epoetin alfa therapy.

C) This choice is incorrect because hypoglycemia (low blood sugar) is not a common side effect of epoetin alfa therapy.

D) This choice is incorrect because hypocalcemia (low calcium levels) is not a common side effect of epoetin alfa therapy.

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Correct Answer is B

Explanation

A. With meals
Taking ferrous sulfate with meals may reduce its absorption because food, particularly dairy products and certain medications, can interfere with iron absorption.

B. On an empty stomach
Ferrous sulfate is best absorbed on an empty stomach, as food can inhibit iron absorption. However, if gastrointestinal irritation occurs, it may be taken with a small amount of food.

C. At bedtime
Taking iron supplements at bedtime is not ideal because it can cause gastrointestinal discomfort, which may interfere with sleep.

D. Simultaneously with calcium supplements
Calcium supplements can interfere with the absorption of iron, so they should not be taken at the same time as ferrous sulfate. It is recommended to space them out by at least 2 hours.

A. Whole-grain bread with eggs B. Red meat with dairy products C. Spinach with nuts D. Lentils with beans

Correct Answer is B

Explanation

A) This choice is incorrect because whole-grain bread contains phytates that can inhibit iron absorption, and although eggs enhance non-heme iron absorption, the combination with whole-grain bread may not be as effective as other options.

B) This choice is correct. Red meat is a rich source of heme iron, which is well-absorbed, and dairy products are sources of calcium that do not significantly inhibit heme iron absorption. Combining heme iron with calcium-rich foods can help optimize iron uptake.

C) This choice is incorrect because although spinach is a source of non-heme iron, it also contains substances such as oxalates that can hinder iron absorption. Nuts, while being nutritious, do not specifically enhance iron absorption.

D) This choice is incorrect because both lentils and beans are sources of non-heme iron, and the combination does not provide a significant enhancer of iron absorption.

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A client is receiving epoetin alfa therapy as part of the management of anemia. The nurse should monitor the client for which potential side effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with anemia is prescribed ferrous sulfate supplements. A nurse should instruct the client to take the supplement:

Correct Answer is B

Explanation

A nurse is educating a client with anemia about dietary modifications to enhance iron absorption. Which of the following food combinations should the nurse recommend to the client to optimize iron uptake?

Correct Answer is B

Explanation

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