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

With meals

On an empty stomach

At bedtime

Simultaneously with calcium supplements

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is C

Explanation

A) This choice is incorrect because pernicious anemia is not related to iron deficiency, so increasing iron-rich foods will not address the underlying cause.

B) This choice is incorrect because vitamin C actually enhances the absorption of vitamin B12, which is essential in pernicious anemia.

C) This choice is correct. Pernicious anemia is caused by the lack of intrinsic factor, a protein necessary for vitamin B12 absorption. Clients with pernicious anemia will require lifelong vitamin B12 supplementation, often through intramuscular injections.

D) This choice is incorrect. Leafy green vegetables are good sources of folate, which is not directly related to pernicious anemia.

A. Taking the supplement with meals may reduce gastrointestinal side effects. B. Taking the supplement with meals may enhance iron absorption. C. Taking the supplement with meals may improve its effectiveness. D. Taking the supplement with meals may prevent interactions with other medications.

Correct Answer is A

Explanation

A) This choice is correct. Taking the iron supplement with meals may reduce gastrointestinal side effects, such as nausea and stomach upset, which are common with iron supplementation.

B) This choice is incorrect because taking iron supplements with meals may reduce iron absorption due to interference with other dietary components.

C) This choice is incorrect because taking the supplement with meals does not directly improve its effectiveness in treating anemia.

D) This choice is incorrect because interactions with other medications are not specifically related to the timing of iron supplementation with meals.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with pernicious anemia. Which of the following statements made by the client demonstrates an understanding of the condition?

Correct Answer is C

Explanation

A client with anemia is prescribed ferrous sulfate, an oral iron supplement. The nurse advises the client to take the medication at least one hour before or two hours after meals. What should the nurse inform the client about this timing?

Correct Answer is A

Explanation

A client with a history of gastric bypass surgery presents with signs of anemia. The nurse should suspect which type of anemia?

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?

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