A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

"Drink the elixir using a straw to prevent staining your teeth."

"Take the medication with an antacid if it upsets your stomach."

"Increase your fiber intake to prevent constipation."

"Stop taking the medication if your stools become green or black."

"Increase your intake of dairy products to increase the absorption of this medication.

Answer and Explanation

Correct Answer : A,C

A. "Drink the elixir using a straw to prevent staining your teeth.": Using a straw helps prevent the liquid iron from coming into direct contact with the teeth, reducing the risk of permanent staining, which is a common side effect of ferrous sulfate elixir.

B. "Take the medication with an antacid if it upsets your stomach.": Antacids decrease the absorption of iron. To optimize effectiveness, ferrous sulfate should be taken on an empty stomach or with vitamin C–rich foods, rather than with antacids.

C. "Increase your fiber intake to prevent constipation.": Iron supplements commonly cause constipation. Increasing dietary fiber, fluids, and physical activity can help manage this adverse effect and maintain regular bowel function.

D. "Stop taking the medication if your stools become green or black.": Dark stools are a common, harmless side effect of iron supplementation. Clients should be reassured rather than stopping the medication.

E. "Increase your intake of dairy products to increase the absorption of this medication.": Dairy products contain calcium, which inhibits iron absorption. Iron should be taken separately from calcium-rich foods or supplements to maximize absorption.

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Correct Answer is A

Explanation

A. Heart rate of 56/min: Propranolol is a beta-blocker that can lower heart rate. A heart rate below 60/min may indicate bradycardia, which can be dangerous and requires intervention before administering the next dose.

B. SaO2 95% on 2 L/min of oxygen: Oxygen saturation of 95% on supplemental oxygen is within an acceptable range and does not require immediate intervention.

C. Blood pressure 106/68 mm Hg: While slightly on the lower side, this blood pressure is generally considered acceptable for many adults and does not typically necessitate an immediate intervention.

D. Respirations 22/min: A respiratory rate of 22/min is mildly elevated but usually not critical. It does not require withholding propranolol or immediate intervention in a stable client.

A. Examine the client's upper body for flushing of the skin during the infusion. B. Monitor for hypertension while the medication infuses. C. Check for a penicillin cross-sensitivity before infusing the medication. D. Infuse the medication over 30 min.

Correct Answer is A

Explanation

A. Examine the client's upper body for flushing of the skin during the infusion: Red man syndrome is a common adverse effect of rapid IV vancomycin administration. It presents as flushing or rash on the upper body, and monitoring for this reaction is essential to ensure client safety.

B. Monitor for hypertension while the medication infuses: Vancomycin is more commonly associated with hypotension rather than hypertension during infusion, so monitoring for high blood pressure is not a primary concern.

C. Check for a penicillin cross-sensitivity before infusing the medication: Vancomycin is not a beta-lactam antibiotic, so penicillin allergy does not predict vancomycin reactions. Screening for cross-sensitivity is not required.

D. Infuse the medication over 30 min: Rapid infusion increases the risk of adverse effects such as red man syndrome. Vancomycin should typically be infused over at least 60 minutes or longer, depending on the dose, to reduce this risk.

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A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has hypertension and is receiving propranolol. Which of the following findings require an intervention by the nurse?

Correct Answer is A

Explanation

A nurse is planning care for a client who is to receive a prescription for IV vancomycin. Which of the following interventions should the nurse include in the plan?

Correct Answer is A

Explanation

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