A nurse is caring for a female client in a provider's office.
The nurse notifies the client and provides teaching about the newly prescribed medication. For each of the statements made by the client, click to specify whether the statement indicates an understanding or no understanding of the teaching provided.
Client Education: Understanding / No Understanding
"I should avoid taking antacids while on this medication."
"If I experience black stools, I should notify my provider."
"I should rinse my mouth after taking this medication."
"I should take this medication with orange juice."
"I should take my medication on an empty stomach.”
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}
A. Antacids can interfere with the absorption of ferrous sulfate, reducing its effectiveness. The client should avoid taking antacids concurrently with the iron supplement.
B. Black stools are a common and expected side effect of taking iron supplements. This is generally not a cause for concern and does not require notifying the provider unless accompanied by other symptoms such as pain or blood in the stool.
C. Liquid forms of iron supplements can stain teeth. Rinsing the mouth after taking the medication can help prevent this staining. Even if taking a tablet, this practice can be a good habit to avoid any residual taste.
D. Vitamin C, which is present in orange juice, can enhance the absorption of iron from the gastrointestinal tract, making the iron supplement more effective.
E. Iron supplements are best absorbed on an empty stomach. However, if the client experiences gastrointestinal upset, it can be taken with a small amount of food, but avoiding dairy products and antacids is important.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. There is no specific requirement to administer within 20 minutes as long as proper technique is used. The mixture should be administered promptly, but the exact timing is not critical within this short period.
B. The short-acting insulin should be drawn into the syringe first to prevent contamination. Drawing NPH insulin first can contaminate the short-acting insulin with the intermediate-acting insulin's cloudy appearance.
C. Injecting air into the vial to withdraw the short-acting insulin first is the correct technique. This prevents the risk of contaminating the clear short-acting insulin with the cloudy NPH insulin.
D. Using two separate syringes is not necessary for mixing insulins and can complicate administration. Mixing in one syringe ensures correct dosing and simplifies the injection process.
Correct Answer is C
Explanation
A. Warming the formula is not indicated for treating hypoglycemia.
B. Discontinuing the infusion may exacerbate hypoglycemia if the client requires parenteral nutrition for other reasons.
C. Administering IV dextrose is the appropriate intervention for treating hypoglycemia in a client receiving parenteral nutrition.
D. Obtaining arterial blood gases is not indicated for treating hypoglycemia unless there are other concerns about the client's respiratory status.
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