A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide?
Take the medication with orange juice to enhance absorption.
Rinse the mouth before taking the iron.
Take the medication on an empty stomach to decrease gastrointestinal irritation.
Take the medication with milk.
The Correct Answer is A
vitamin C and other fruit juices (except grape juice) enhance the absorption of oral iron supplements in the gastrointestinal tract. Therefore, the clients are encouraged to take the supplements along with such fruit juices.
B. Rinsing the mouth should be done after to prevent staining of teeth
C. Taking the supplement on an empty stomach promotes gastrointestinal irritation
D. Dairy products inhibit iron absorption and should therefore be avoided
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Correct Answer is D
Explanation
Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.
Hypokalemia causes complications like cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor the client for signs and symptoms of hypokalemia and notify the provider appropriately
A. furosemide does not affect the blood glucose levels
B. furosemide is used to lower blood pressure by reducing venous return.
C. furosemide reduces fluid load by blocking water reabsorption in the kidney
Correct Answer is D
Explanation
Taking ferrous sulfate between meals enhances its absorption as some food substances can interfere with iron absorption. Therefore, it is generally recommended to take ferrous sulfate on an empty stomach, typically 1 hour before meals or 2 hours after meals. However, if gastrointestinal upset occurs when taking ferrous sulfate on an empty stomach, it can be taken with a small amount of food to minimize discomfort.
A. Antacids containing aluminum, calcium, or magnesium can bind with iron and reduce its absorption.
B. Dairy products, including yogurt, can also inhibit iron absorption due to the presence of calcium.
C. Taking it at bedtime increases the likelihood of gastrointestinal discomfort reducing its effectiveness due to interference from food.
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