A nurse is administrating ferrous sulfate elixir to a client who has iron deficiency anemia. Which of the following actions should the nurse take?

Give the medication with a caffeinated beverage.

Administer the medication through a straw.

Provide an antacid with the medication.

Dilute the medication with milk.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Caffeine might decrease iron absorption; it's better to give the medication with water or juice.
Choice B rationale: Ferrous sulfate elixir may stain the teeth. Administering it through a straw helps minimize the risk of dental discoloration.
Choice C rationale: Antacids may decrease iron absorption.
Choice D rationale: Milk can also interfere with iron absorption.

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Correct Answer is C

Explanation

Choice A rationale: The client's skin temperature will decrease as the thyroid hormone levels decrease and the metabolic rate slows down.
Choice B rationale: The client's heart rate will decrease as the thyroid hormone levels decrease and the cardiac output decreases.
Choice C rationale: The client's sleep pattern will improve as the thyroid hormone levels decrease and the nervous system becomes less stimulated.
Choice D rationale: The client's weight will increase as the thyroid hormone levels decrease and the appetite increases.

A. Potassium chloride 10 mEq/hr B. Bicarbonate by IV infusion C. Subcutaneous insulin injections D. 0.9% sodium chloride 15 mL/kg/hr

Correct Answer is D

Explanation

Choice A rationale: While potassium replacement is important in diabetic ketoacidosis, fluid resuscitation to restore intravascular volume, improve renal perfusion, and flush out ketones.
Choice B rationale: Bicarbonate infusion might be considered in severe acidosis, but fluid administration is the priority.
Choice C rationale: The priority intervention for a client with diabetic ketoacidosis and very high blood glucose levels is to initiate fluid resuscitation to restore intravascular volume, improve renal perfusion, and flush out ketones.
Choice D rationale: The first intervention the nurse should initiate is fluid resuscitation with 0.9% sodium chloride at a rate of 15 mL/kg/hr to restore intravascular volume, improve renal perfusion, and flush out ketones.

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