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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Cabbage is low in potassium, making it a suitable food for clients who need to avoid high-potassium foods. It contains approximately 150 mg of potassium per cup, which is relatively low compared to other vegetables.
Choice B rationale
Watermelon is a fruit with moderate potassium content, containing about 170 mg of potassium per cup. While not extremely high, it is not the best choice for someone seeking to increase potassium intake significantly.
Choice C rationale
A medium potato is high in potassium, with about 900 mg of potassium. Potatoes are an excellent source of potassium, which is essential for maintaining proper muscle and nerve function.
Choice D rationale
An apple is low in potassium, containing around 150 mg per small apple. It is a good option for clients who need to limit their potassium intake, but not for those looking to increase it. .
Correct Answer is B
Explanation
Choice A rationale
Peritonitis usually leads to increased respiratory rate rather than decreased respirations due to abdominal pain and possible sepsis. Rapid breathing is a common symptom as the body tries to compensate for the infection and discomfort.
Choice B rationale
Absent bowel sounds are a hallmark sign of peritonitis, indicating a lack of intestinal activity due to severe inflammation of the peritoneum. This condition can lead to ileus, where the intestines stop functioning properly.
Choice C rationale
Peripheral edema is not typically associated with peritonitis. Peritonitis primarily affects the abdomen and does not commonly cause fluid accumulation in the extremities. Edema is more related to conditions affecting the heart, liver, or kidneys.
Choice D rationale
Polyuria, or excessive urination, is not a symptom of peritonitis. Peritonitis primarily affects the abdominal cavity and symptoms include severe abdominal pain, fever, and a rigid abdomen. Polyuria is often associated with conditions like diabetes.
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