A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?
"I should take an antacid with this medication to prevent stomach upset."
"I should I stay upright for at least 15 minutes after taking this medication."
"I should notify my provider if my stools turn black."
"I should take this medication with 8 ounces of milk."
The Correct Answer is C
A) "I should take an antacid with this medication to prevent stomach upset." - Antacids can interfere with the absorption of iron, so they should not be taken together.
B) "I should stay upright for at least 15 minutes after taking this medication." - While staying upright can help prevent esophageal irritation, it is not specific to ferrous gluconate.
C) "I should notify my provider if my stools turn black." - Black stools can indicate gastrointestinal bleeding, a potential side effect of iron supplements, and should be reported to the provider.
D) "I should take this medication with 8 ounces of milk." - Calcium in milk can interfere with iron absorption and should not be taken together.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) File a report with the facility to document the incident as a near miss medication error. - Reporting the incident as a near miss allows for appropriate documentation and investigation to prevent future errors.
B) Write in the client's medical record that the nurse prevented a facility medication error. - While it's important to document the incident, it should be done through the appropriate channels rather than in the client's medical record.
C) Inform the client that medication will not be given due to a dispensary medication error. - This action may cause unnecessary alarm to the client and is not the appropriate response to the situation.
D) Contact the client's prescribing provider to report a facility medication error. - While notifying the prescribing provider may be necessary, it should be done after reporting the incident to the facility and following facility protocols.
Correct Answer is A
Explanation
A) Subcutaneous - Epoetin alfa is typically administered via subcutaneous injection to stimulate red blood cell production in clients with anemia.
B) Intranasal - Intranasal administration is not a typical route for epoetin alfa.
C) Oral - Epoetin alfa is not effective when administered orally due to degradation in the gastrointestinal tract.
D) Transdermal - Epoetin alfa is not typically administered transdermally.
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