A nurse is assisting in the care of a 62-year-old female client in a provider’s office who has iron deficiency anemia.
Which of the following instructions should the nurse include when educating the client about iron supplementation? (Select all that apply.)
Take the medication on an empty stomach.
Increase sources of fiber in the diet.
Take the medication with a source of vitamin C.
Take an antacid within 30 minutes after medication administration.
Increase intake of milk and dairy products.
Correct Answer : A,B,C
Choice A rationale: Taking iron supplements on an empty stomach increases their absorption. Food can interfere with the absorption of iron, so taking it 1 hour before meals or 2 hours after meals is recommended to maximize the amount of iron absorbed by the body. This is important for effectively managing iron deficiency anemia.
Choice B rationale: Increasing dietary fiber can help manage potential side effects of iron supplementation, such as constipation. Fiber-rich foods can aid in maintaining regular bowel movements and prevent gastrointestinal discomfort, which is a common issue with iron supplements.
Choice C rationale: Vitamin C enhances the absorption of non-heme iron, which is the type of iron found in supplements and plant-based foods. Taking iron supplements with a source of vitamin C, such as orange juice, can significantly increase the amount of iron absorbed by the body, improving the treatment of iron deficiency anemia.
Choice D rationale: Taking an antacid within 30 minutes after iron supplementation is not recommended, as antacids can decrease the absorption of iron by raising the pH level in the stomach. This can reduce the effectiveness of the iron supplement.
Choice E rationale: Milk and dairy products contain calcium, which can inhibit the absorption of iron. Increasing the intake of milk and dairy products should be avoided around the time of taking iron supplements to ensure maximum absorption of iron.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Adverse effects of antituberculosis medications do occur, but taking a single medication doesn't necessarily reduce their frequency or severity. Combination therapy aims to prevent resistance, not specifically to avoid side effects.
Choice B rationale
Multiple medications in TB treatment don't directly protect the liver from toxic effects. In fact, they may increase the risk of hepatotoxicity, but the benefit outweighs the risk due to reduced resistance.
Choice C rationale
The primary reason for using multiple antituberculosis medications is to prevent the development of drug resistance. TB bacteria can quickly become resistant when only one medication is used, leading to treatment failure.
Choice D rationale
TB treatment typically involves multiple drugs regardless of the severity of the disease to ensure effective eradication of the bacteria and prevent resistance.
Correct Answer is A
Explanation
Choice A rationale
Clonidine can cause dry mouth, which is a common side effect of the medication.
Choice B rationale
Hypopigmentation under the patch is not a common side effect of clonidine and does not need to be monitored.
Choice C rationale
Diarrhea is not a common adverse effect of clonidine. It is not typically associated with the medication.
Choice D rationale
Clonidine is not known to cause weight loss. Monitoring for this is unnecessary. .
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