A client with anemia is prescribed ferrous sulfate, an oral iron supplement. The nurse instructs the client to take the medication on an empty stomach. Which beverage should the nurse recommend the client to avoid while taking the supplement?

Water

Orange juice

Milk

Tea

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because taking ferrous sulfate with water is generally acceptable and does not significantly affect iron absorption.

B) This choice is incorrect because taking ferrous sulfate with orange juice, which is rich in vitamin C, can enhance iron absorption and is often recommended.

C) This choice is incorrect because taking ferrous sulfate with milk can reduce iron absorption, but it is not as significant as with tea or coffee.

D) This choice is correct. Tea, especially black tea, contains tannins that can inhibit iron absorption when taken with ferrous sulfate or other iron supplements.

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Correct Answer is D

Explanation

A) This choice is incorrect because while blood pressure monitoring is essential for clients with chronic kidney disease, it is not specifically related to ESA therapy.

B) This choice is incorrect because serum potassium levels are important in chronic kidney disease, but they are not directly related to ESA therapy.

C) This choice is incorrect because dietary sodium intake is important in managing fluid balance in chronic kidney disease, but it is not directly related to ESA therapy.

D) This choice is correct. ESA therapy stimulates the production of red blood cells, and adequate iron levels are necessary for this process. Clients with chronic kidney disease often have decreased iron levels due to various factors, and iron supplementation is crucial for the success of ESA therapy.

Questions

A. Iron-deficiency anemia B. Pernicious anemia C. Aplastic anemia D. Hemolytic anemia

Correct Answer is B

Explanation

A) This choice is incorrect because the Schilling test is not used to diagnose iron-deficiency anemia. It is primarily used to diagnose pernicious anemia, a type of megaloblastic anemia caused by vitamin B12 deficiency.

B) This choice is correct. The Schilling test is used to diagnose pernicious anemia by assessing the body's ability to absorb vitamin B12 from the digestive system.

C) This choice is incorrect because the Schilling test is not used to diagnose aplastic anemia. Aplastic anemia is diagnosed through other means, such as bone marrow biopsy and blood tests.

D) This choice is incorrect because the Schilling test is not used to diagnose hemolytic anemia. Hemolytic anemia is diagnosed through blood tests and other assessments to determine red blood cell destruction.

Questions

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A client with anemia is prescribed ferrous sulfate, an oral iron supplement. The nurse instructs the client to take the medication on an empty stomach. Which beverage should the nurse recommend the client to avoid while taking the supplement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic kidney disease and anemia is prescribed erythropoiesis-stimulating agents (ESAs) as part of the treatment plan. The nurse educates the client about the importance of which parameter during ESA therapy?

Correct Answer is D

Explanation

A client with anemia is undergoing a Schilling test to determine the cause of the condition. The nurse should recognize that this test is used to diagnose which type of anemia?

Correct Answer is B

Explanation

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