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.
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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Related Questions
Correct Answer is C
Explanation
Dimenhydrinate is an antihistamine used in the prevention and management of motion sickness and nausea. The common side effects include dizziness, drowsiness, and dry mouth.
A is incorrect because dimenhydrinate is not typically associated with causing diarrhea.
B has a short onset of action and hence taken right before travelling or shortly after beginning the journey
D – It commonly causes dry mouth
Correct Answer is B
Explanation
A. Diluting phenytoin with sterile water before injecting is not recommended, as phenytoin is incompatible with most used diluents. Diluting it can lead to precipitation and potentially cause adverse effects such as tissue irritation and phlebitis.
B. Administering the medication over 1 min is recommended. Phenytoin should be administered at a rate of 50mg/min.
C. Following the IV injection with sterile water is unnecessary and not indicated for administering phenytoin.
D.Phenytoin precipitates out of solution when mixed with certain diluents or when administered too quickly. Crystallized phenytoin can cause local irritation, tissue damage, and potentially more serious adverse effects. Therefore, it should not be administered at all.
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