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 A

Explanation

Choice A reason: Insomnia can be a common and temporary side effect when starting rivastigmine. Educating the caregiver about this potential side effect helps them understand that it may resolve over time and reassures them about the safety of the medication.

Choice B reason: Advising that the purpose of the medication is to promote sleep is incorrect. Rivastigmine is used to improve cognitive function in Alzheimer's disease, not specifically to promote sleep.

Choice C reason: Instructing the caregiver to withhold the medication without consulting the healthcare provider is not advisable. Adjusting or discontinuing medication should always be done under medical supervision.

Choice D reason: Notifying the healthcare provider about increasing the dosage for insomnia is inappropriate. The focus should be on managing the side effect without altering the intended therapeutic effect of the medication.

A. Advise use of an over-the-counter antipyretic. B. Ask if the medication has been kept refrigerated. C. Determine if any other symptoms have developed. D. Instruct the client to increase oral fluid intake.

Correct Answer is C

Explanation

Choice A reason: Advising the use of an over-the-counter antipyretic is not the first step. It's important to assess for other symptoms that could indicate an allergic reaction or other complications.

Choice B reason: Asking if the medication has been kept refrigerated is relevant but secondary to assessing for other symptoms.

Choice C reason: Determining if any other symptoms have developed helps identify whether the fever is related to a possible allergic reaction, superinfection, or other adverse effects of the medication.

Choice D reason: Instructing the client to increase oral fluid intake is general advice that does not address the need to assess for other potentially serious symptoms.

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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

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