A client with iron deficiency anemia is taking ferrous sulfate elixir. Which instruction should the nurse provide this client?

Use a straw to ingest.

Swallow undiluted.

Take with a glass of milk.

Mix with an antacid.

Answer and Explanation

The Correct Answer is A

Choice A reason: Using a straw to ingest ferrous sulfate elixir is recommended because it helps minimize the staining of teeth, which is a common side effect of liquid iron supplements. This instruction helps protect the client's dental health while ensuring they receive the necessary treatment for iron deficiency anemia.

Choice B reason: Swallowing ferrous sulfate elixir undiluted is not recommended as it increases the risk of teeth staining and potential gastrointestinal irritation. It's better to dilute it or use a straw to minimize contact with the teeth.

Choice C reason: Taking ferrous sulfate with milk is not advisable because calcium in milk can interfere with iron absorption, reducing the effectiveness of the supplement. Clients should avoid consuming iron supplements with calcium-rich foods or beverages.

Choice D reason: Mixing ferrous sulfate with an antacid is not recommended because antacids can also interfere with iron absorption. Clients should avoid taking antacids close to the time they take their iron supplement.

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Correct Answer is B

Explanation

Choice A reason: While pilocarpine ophthalmic drops can cause increased fluid in the eyes to help manage glaucoma, they do not typically cloud the visual field. The main purpose of pilocarpine is to reduce intraocular pressure by increasing the outflow of aqueous humor.

Choice B reason: Pilocarpine is a cholinergic agent that stimulates the sphincter muscles of the iris, leading to miosis (constriction of the pupil). This reduces the pupil's ability to dilate in low-light conditions, making it more difficult for clients to see in the dark. This explanation accurately addresses the client's concern about night vision.

Choice C reason: Pilocarpine does not cause the lens to become more opaque. Opaque lenses are more commonly associated with cataracts, which are not related to the use of pilocarpine.

Choice D reason: Pilocarpine causes the pupils to constrict (miosis) rather than dilate. This constriction affects the pupil's ability to adapt to darkness but does not cause dilation that reduces night vision.

A. Hard candy can be used for a dry mouth. B. Insomnia may occur while taking the medication. C. Sensitivity to the sun can develop. D. Another form of contraception is not needed.

Correct Answer is D

Explanation

Choice A reason: Using hard candy to alleviate dry mouth is a common suggestion for clients experiencing dry mouth as a side effect of medications, including herbal supplements like St. John's wort. This information does not require further instruction as it is a helpful and safe practice.

Choice B reason: Insomnia can occur while taking St. John's wort due to its stimulating effects. Clients should be informed about this potential side effect and how to manage it, but this information does not require further instruction as it is accurate and relevant.

Choice C reason: Sensitivity to the sun is a known side effect of St. John's wort. Clients should be advised to use sun protection and avoid excessive sun exposure. This information is correct and does not require further instruction.

Choice D reason: The statement that another form of contraception is not needed requires further instruction because St. John's wort can interact with hormonal contraceptives, potentially reducing their effectiveness. Clients should be advised to use an additional form of contraception to prevent unintended pregnancy.

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A client with iron deficiency anemia is taking ferrous sulfate elixir. Which instruction should the nurse provide this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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