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

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.

A. The client waits 10 min between inhalations. B. The client exhales as the medication is released from the inhaler. C. The client holds his breath for 10 seconds after inhaling the medication. D. The client takes a quick inhalation while releasing the medication from the inhaler.

Correct Answer is C

Explanation

The client should hold breath for 5- 10 seconds after inhalation. This duration allows for optimal exposure of the drug to the airway epithelium. This allows for adequate response to the bronchodilator.
A- The client should wait 2 mins between inhalations to allow for optimal absorption of the medication

B- The client should inhale during release of medication to allow entry into the lungs.

D- The client should inhale the medication slowly and deeply over about 3-4 seconds. This ensures that the medication reaches deep into your lungs where it is needed.

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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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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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