A nurse is assisting in the care of a 62-year-old female client in a provider’s office who has iron deficiency anemia.

Exhibits

Which of the following instructions should the nurse include when educating the client about iron supplementation? (Select all that apply.)

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.