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 stay upright for at least 15 minutes after taking this medication."
“I should take an antacid with this medication to prevent stomach upset."
"I should take this medication with 8 ounces of milk."
“I should notify my provider if my stools turn black."
The Correct Answer is A
A. “I should stay upright for at least 15 minutes after taking this medication.": This statement is correct as remianing upright reduces the risk of reflux that is common after taking the medication.
B. “I should take an antacid with this medication to prevent stomach upset.": Antacids can decrease the absorption of iron, so taking them with ferrous gluconate is not recommended.
C. "I should take this medication with 8 ounces of milk.": Milk can inhibit the absorption of iron, so taking ferrous gluconate with milk is not advised. It's better to take it with water or juice.
D. “I should notify my provider if my stools turn black.": This statement is incorrect as black stools are an expected side effect of the medication.
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Related Questions
Correct Answer is D
Explanation
A. Hold the injector in place for 10 seconds: Holding the injector in place after administering epinephrine is not the first action the client should take. After administering epinephrine, the client should immediately seek emergency medical attention.
B. Massage the outer thigh for 10 seconds: Massaging the outer thigh is not the first action the client should take after administering epinephrine. Seeking emergency medical attention is the priority.
C. Seek immediate medical attention: After administering epinephrine for an anaphylactic reaction, the client should immediately seek emergency medical attention to receive further evaluation and treatment. Epinephrine provides temporary relief of symptoms but does not replace the need for medical evaluation and ongoing management.
D. Jab the device into the outer thigh. The client should use the epinephrine auto-injector as soon as possible after experiencing an anaphylactic reaction. The device delivers a dose of
epinephrine, which constricts blood vessels and relaxes the airways, to reverse the symptoms of anaphylaxis.
Correct Answer is C
Explanation
A. Constipation: Constipation is not a commonly reported adverse effect of clopidogrel.
Therefore, it is not necessary to instruct the client to monitor and report constipation as an adverse effect.
B. Weight loss: Weight loss is not a commonly reported adverse effect of clopidogrel. Therefore, it is not necessary to instruct the client to monitor and report weight loss as an adverse effect.
C. Bruising: Clopidogrel is an antiplatelet medication that inhibits platelet aggregation.
Therefore, one of the potential adverse effects is an increased risk of bleeding, which can
manifest as easy bruising or prolonged bleeding from minor injuries. Instructing the client to monitor and report bruising is important for early detection of bleeding complications.
D. Blurred vision: Blurred vision is not a commonly reported adverse effect of clopidogrel.
Therefore, it is not necessary to instruct the client to monitor and report blurred vision as an adverse effect.
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