A nurse is preparing discharge teaching for a client who has Crohn's disease and a new ileostomy. Which of the following community resources should the nurse include in the teaching?

Apply dressing to foot wound: While wound care is important, managing hyperglycemia takes priority. High blood glucose impairs wound healing and increases infection risk, making insulin administration the more urgent intervention. Dressing application should follow glycemic control measures.

Consult outpatient wound care specialist: A wound care consultation is appropriate for managing a chronic ulcer, but immediate intervention is required to stabilize glucose levels. Optimizing wound care should come after initial glucose management.

Schedule appointment with ophthalmologist: Clients with diabetes require routine eye exams due to the risk of diabetic retinopathy. However, addressing hyperglycemia and preventing further infection are more urgent concerns at this time.

Administer regular insulin 4 units subcutaneously x 1 dose: The client's blood glucose is elevated (250 mg/dL), which can impair immune function and tissue healing. Lowering glucose with insulin is the priority to prevent complications such as worsening infection or ketoacidosis.

• Increase sources of fiber in the diet: Increasing dietary fiber is important for maintaining bowel health, especially when taking iron supplements, as constipation is a common side effect of iron therapy. A higher fiber intake can help alleviate constipation and promote regular bowel movements.
• Take the medication with a source of vitamin C: Vitamin C enhances iron absorption in the gastrointestinal tract. Clients should be instructed to take ferrous sulfate with vitamin C-rich foods (such as citrus fruits) or beverages (like orange juice) to maximize absorption and improve the effectiveness of the iron supplement.
• Take the medication on an empty stomach: Iron supplements are best absorbed when taken on an empty stomach, ideally 1 hour before or 2 hours after meals. However, if gastrointestinal upset occurs, the client may take the medication with food to minimize discomfort, but this can reduce absorption.

• Take an antacid within 30 min after medication administration: Antacids can interfere with the absorption of iron supplements. Clients should be advised to avoid antacids for at least 2 hours before or after taking iron supplements to ensure proper absorption.
• Increase intake of milk and dairy products: Calcium in milk and dairy products can inhibit iron absorption when consumed simultaneously. Clients should be advised to avoid consuming these products around the time they take their iron supplement for optimal absorption.