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 D
Explanation
Sucralfate is a medication used to treat gastric and duodenal ulcers by forming a protective coating over the ulcer site to prevent acid exposure. Taking it 1 hour before meals and bedtime ensures formation of a coat prior to production of acid during digestion or lying down.
A. Taking sucralfate "as needed" may lead to overdose as well as reduced effectiveness
B. There's no need to reduce fluid intake with sucralfate.
C. Sucralfate should not be taken with antacids, as they can interfere with its effectiveness by altering its pH-dependent mechanism of action. It's generally recommended to take sucralfate at least 30 minutes before or after taking antacids.
Correct Answer is C
Explanation
Expectorants are agents used in respiratory conditions such as COPD and cystic fibrosis.
They are used to thin mucus and stimulate bronchial secretions.
A. expectorant do not dry mucus membranes but help loosen and thin mucus secreted
B. unlike cough suppressants, expectorants promote coughing to clear the airway
D. expectorants have no effect on the inflammation process
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