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A nurse is teaching a client about iron supplementation during pregnancy.Which of the following client statements indicates an understanding of the teaching?

A.

I will take this supplement with 8 ounces of milk.

B.

I will double my dose if I forget to take my supplement.

C.

I will be certain to consume 29 grams of fiber daily.

D.

I will take 100 milligrams of vitamin C per day while taking this supplement.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Taking iron supplements with milk is not advised because calcium in milk can interfere with the absorption of iron, reducing its effectiveness.

Choice B rationale

Doubling the dose of iron supplements if a dose is missed is not recommended because it can cause gastrointestinal issues and toxicity. It's better to just continue with the regular dosing schedule.

Choice C rationale

Consuming 29 grams of fiber daily is a good practice for overall health, but it does not directly aid in iron absorption. Fiber can actually bind to iron and decrease its absorption in the intestines.

Choice D rationale

Vitamin C enhances the absorption of non-heme iron (found in supplements) by converting it into a more absorbable form. Taking vitamin C with iron supplements increases their effectiveness, making this statement correct.


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Related Questions

Correct Answer is []

Explanation

The client is most likely experiencing an ectopic pregnancy. Here's why:

  • Symptoms: The client presents with intermittent vaginal bleeding and dull left lower quadrant abdominal pain, which are common symptoms of an ectopic pregnancy.
  • Physical Examination: Tenderness upon palpation in the left lower quadrant and an enlarged uterus consistent with 8 weeks of gestation are also indicative of an ectopic pregnancy.

Actions to Take

  1. Perform ultrasound: To confirm the diagnosis and locate the ectopic pregnancy.
  2. Administer IV fluids: To stabilize the client and prepare for potential surgical intervention.

Parameters to Monitor

  1. Vaginal bleeding: To assess the severity and progression of the bleeding.
  2. Blood pressure: To monitor for signs of internal bleeding or hemodynamic instability.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

The nurse should prioritize monitoring the client's fundal tone followed by the client's blood pressure. Here's why:

  1. Fundal Tone: The client's fundus is boggy and not firming up with massage. This is a priority concern as it indicates uterine atony, which is a major cause of postpartum hemorrhage.
  2. Blood Pressure: Monitoring blood pressure is crucial as the client is experiencing heavy lochia, and a decrease in blood pressure can indicate hypovolemic shock due to blood loss.

So, the completed sentence would be:

  • The nurse should first monitor the client's fundal tone followed by the client's blood pressure.

Taking care of immediate risks and stabilizing the patient is key in such cases.

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