A client who is prescribed an iron preparation for treating iron deficiency anemia tells the nurse that she has also been taking ascorbic acid.
The nurse would assess the client for which of the following?

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.

Choice A rationale:

Emetics are medications that induce vomiting and are used in cases of drug overdose, ingestion of toxic substances, or other situations where rapid removal of the ingested substance is necessary. However, it is crucial that the client's mental status is intact and they can cooperate and understand the need to induce vomiting. If a client is unconscious or unable to protect their airway, inducing vomiting can lead to aspiration and further complications.

Choice B rationale:

Clients with existing severe hypertension should not be administered emetics, as the act of inducing vomiting can lead to a sudden increase in blood pressure, potentially causing adverse cardiovascular events.

Choice C rationale:

Clients with a medical history of convulsions (seizures) should not be given emetics. Inducing vomiting may lead to a convulsive episode, which can be harmful and increase the risk of aspiration.

Choice D rationale:

Clients with an existing condition of hemorrhagic diathesis (a tendency to bleed excessively) should not be administered emetics. Inducing vomiting can cause mucosal damage and bleeding in the gastrointestinal tract, further exacerbating the client's condition.