A nurse is educating a client with iron deficiency anemia who has been prescribed iron supplements. What should the nurse include in health education?
Iron will cause the stools to darken in color.
increase the intake of vitamin E to enhance absorption
Limit foods high in fiber due to the risk of diarrhea
Take the iron with dairy products to enhance absorption.
The Correct Answer is A
A. Dark-colored stools are a common and expected side effect of iron supplementation and are harmless — this is important to include in client education.
B. Vitamin C, not vitamin E, enhances the absorption of iron.
C. Iron supplements can cause constipation, not diarrhea, so fiber intake should not be limited — it should often be increased.
D. Dairy products contain calcium, which inhibits iron absorption and should be avoided when taking iron supplements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Avoid grapefruit juice." — Grapefruit juice affects the metabolism of certain medications (like statins or calcium channel blockers), but it is not a concern with hydrochlorothiazide.
B. "Monitor for leg cramps." — Hydrochlorothiazide is a thiazide diuretic that can cause loss of potassium, leading to hypokalemia, which often presents as muscle weakness or leg cramps. Clients should be taught to recognize these signs and report them.
C. "Take this medication before bedtime." — Diuretics should be taken in the morning to avoid nocturia (frequent urination at night), which can disrupt sleep.
D. "Reduce intake of potassium-rich foods" — Clients may actually need to increase potassium intake (or be monitored for low potassium) due to the potassium-wasting effect of thiazide diuretics.
Correct Answer is D
Explanation
A. Clients with heart failure typically require more frequent follow-up than twice a year, especially after a new diagnosis.
B. Activity restriction is not generally encouraged unless the client is symptomatic; regular physical activity (as tolerated) is beneficial in managing heart failure.
C. Nitroglycerin patches are not typically used for sudden chest pain; sublingual nitroglycerin is used for acute episodes.
D. A weight gain of 6 pounds (from 124 to 130 pounds) in one week may indicate fluid retention and worsening heart failure. Promptly notifying the healthcare provider is appropriate and demonstrates effective understanding of self-monitoring and management.
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