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 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.

A. Document that the client refuses the medications. B. Ask the client why he is refusing to take the medications. C. Explain the purgH3Se for the medications. D. Tell the client the physician wants him to take the medications.

Correct Answer is B

Explanation

The nurse should identify the concerns that the client has regarding to the medications prescribed. This allows the nurse and the provider to demystify any incorrect information the client might have or address any other underlying issues.

A. Just documenting does not address the client’s issues and shows lack of empathy

C. Explaining is important but the reason for refusal could be something else

D. The nurse should not use any reason to try and force the client to take the medications

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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

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