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: Administering a PRN dose of an anti-anxiety drug is not appropriate in this situation. Tremors could be a side effect of pregabalin or indicate a more serious issue that needs evaluation.

Choice B reason: Notifying the healthcare provider is the correct action. Tremors can be a side effect of pregabalin, and the healthcare provider should assess the client's condition and determine if adjustments to the medication or further evaluation are needed.

Choice C reason: Collecting a capillary glucose level is unnecessary unless there are specific concerns about hypoglycemia. Tremors in this context are more likely related to the medication.

Choice D reason: Obtaining orthostatic blood pressure readings is not directly related to the reported symptom of tremors. The primary focus should be on addressing the potential side effects of the medication.

A. Request that the client's spouse bring the client to the clinic as soon as possible. B. Advise the client's spouse to call an ambulance to take the client to the emergency room. C. Ask the client's spouse to list all medications the client is currently taking. D. Determine how long the client has been diagnosed with Parkinson's disease.

Correct Answer is B

Explanation

Choice A reason: Bringing the client to the clinic is not sufficient for urgent care needs such as confusion and involuntary movements.

Choice B reason: Calling an ambulance ensures the client receives immediate medical attention for potentially severe symptoms.

Choice C reason: Listing all medications is important but not the first priority in an urgent situation.

Choice D reason: Determining how long the client has been diagnosed with Parkinson's disease is relevant background information but not the immediate action needed for the current 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

Naxlex Comprehensive Predictor Exams

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