A nurse is teaching a client who has iron deficiency anemia about ferrous sulfate. Which of the following instructions should the nurse include in the teaching?

Take the ferrous sulfate with an antacid.

Take the ferrous sulfate with yogurt.

Take the ferrous sulfate at bedtime.

Take the ferrous sulfate between meals.

Answer and Explanation

The Correct Answer is D

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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Correct Answer is C

Explanation

Diphenhydramine is an oral antihistamine used in pruritus. Its main side effect is sedation and hence its recommended for use at bedtime to prevent daytime somnolence.
A. Taking the medication with meals does not reduce daytime sedation.
B. Gradually decreasing the dose once tolerance to the effect is reached may be appropriate in some cases, but it does not address immediate concerns about daytime sedation.
D. Distributing the doses evenly throughout the day may not effectively minimize daytime sedation.

A. Infuse the medication at 35 mg/min. B. Infuse the medication with an IV pump. C. Administer a test dose first. D. Cover the IV container with dark paper.

Correct Answer is B

Explanation

Theophylline has a narrow therapeutic window which increase the risk of overdose and toxicity. It is also given at very small doses which could be difficult for the nursing staff to accurately titrate the drops and hence requires an infusion pump
A. Infusion of theophylline loading dose should not exceed 25mg/min due to risk of seizures and cardiac arrhythmias
C. Use of a test dose is not necessary as the risk of hypersensitivity with theophylline is very low.
D. Covering the IV container with dark paper is not necessary for the administration of theophylline.

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A nurse is teaching a client who has iron deficiency anemia about ferrous sulfate. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client Who is prescribed diphenhydramine to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following responses should the nurse give?

Correct Answer is C

Explanation

A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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