A nurse is teaching a client who has a new prescription for ferrous sulfate. Which of the following information should the nurse include in the teaching?
Take for 14 days.
Take with a glass of milk if gastrointestinal distress occurs.
Foods high in vitamin C will promote absorption.
Stools will be dark red.
The Correct Answer is C
Choice A reason:
Ferrous sulfate is often taken for longer than 14 days, depending on the severity of the iron deficiency. The duration of treatment is typically based on the individual's response and their laboratory values, rather than a fixed short-term period.
Choice B reason:
Taking ferrous sulfate with a glass of milk is not recommended as calcium in milk can inhibit the absorption of iron. Instead, it should be taken with water or a beverage high in vitamin C, which enhances iron absorption.
Choice C reason:
Foods high in vitamin C, such as oranges, strawberries, and bell peppers, will promote the absorption of iron. Vitamin C converts iron into a form that is more easily absorbed by the body, making this advice essential for maximizing the effectiveness of the iron supplement.
Choice D reason:
Stools are often dark, tarry, or greenish in color when taking iron supplements, not dark red. This coloration is due to the unabsorbed iron and is a normal side effect of ferrous sulfate, not indicative of gastrointestinal bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Responding with "This hospital might use a different manufacturer, so you must take the medication" dismisses the client’s concern and does not verify if there has been an error in medication dispensing. It’s important for nurses to validate patient concerns rather than making assumptions about the situation.
Choice B reason:
Stating "This is the medication prescribed by your provider" assumes correctness without verifying the client's concern. Although this reassures the patient of prescription accuracy, it fails to address the immediate discrepancy noted by the client, potentially overlooking a mistake.
Choice C reason:
Asking "What does your usual pill look like?" involves the client in the medication verification process, validating their observation and ensuring that the medication is correct. This response demonstrates respect for the client's knowledge and enhances safety by cross-checking details before administration.
Choice D reason:
Assuming "This pill is probably from a different lot number than yours at home" could be misleading and fails to confirm the medication’s accuracy. It’s important to thoroughly investigate the client’s concern rather than making presumptions about manufacturing details.
Correct Answer is A
Explanation
Choice A reason:
Preparing to take the client for a STAT CT of the head is crucial to quickly diagnose a possible stroke. Rapid imaging is essential to determine the type of stroke (ischemic or hemorrhagic), guiding appropriate treatment and improving outcomes. This immediate action is key in stroke management.
Choice B reason:
Administering rtPA is an appropriate intervention for an ischemic stroke but only after confirmation through imaging. Without imaging, there is a risk of worsening a potential hemorrhagic stroke. Hence, it is not the initial priority before confirming the diagnosis.
Choice C reason:
Notifying a speech pathologist for an emergency consult is relevant for assessing and managing speech and swallowing issues but is not the immediate priority. The primary focus should be on diagnosing and addressing the cause of the acute symptoms.
Choice D reason:
Discussing precipitating factors that caused the symptoms can be part of the assessment but is not the priority in the acute phase. Immediate imaging and medical intervention take precedence to mitigate the effects of a potential stroke.
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