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.)
"Take the medication with an antacid if it upsets your stomach."
"Stop taking the medication if your stools become green or black."
"Drink the elixir using a straw to prevent staining your teeth."
"Increase your fiber intake to prevent constipation.
"Increase your intake of dairy products to increase the absorption of this medication
Correct Answer : B,C,D
A. "Take the medication with an antacid if it upsets your stomach."
Explanation: Antacids may interfere with the absorption of iron. It is generally recommended to take iron supplements on an empty stomach or with vitamin C-containing foods to enhance absorption.
B. "Stop taking the medication if your stools become green or black."
Explanation: Ferrous sulfate can cause stools to become dark green or black, which is a normal and expected side effect. However, excessive black, tarry stools may indicate gastrointestinal bleeding and should be reported to the healthcare provider.
C. "Drink the elixir using a straw to prevent staining your teeth."
Explanation: Ferrous sulfate elixir can stain the teeth. Using a straw helps bypass direct contact with the teeth, reducing the risk of staining.
D. "Increase your fiber intake to prevent constipation."
Explanation: Iron supplements, including ferrous sulfate, can cause constipation. Increasing fiber intake can help alleviate constipation.
E. "Increase your intake of dairy products to increase the absorption of this medication."
Explanation: Calcium-containing foods, such as dairy products, can inhibit the absorption of iron. It is advisable to take iron supplements separately from calcium-containing foods.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Laryngeal edema (Correct Answer): Laryngeal edema is a severe allergic reaction that can compromise the airway and lead to respiratory distress. It is a medical emergency and requires immediate intervention. Other signs of a severe allergic reaction may include difficulty breathing, wheezing, and swelling of the face or lips.
B. Nausea: Nausea is a common side effect of many medications, including antibiotics. However, it is not a specific sign of an allergic reaction. Allergic reactions are more likely to involve symptoms such as rash, itching, and swelling.
C. Cardiac dysrhythmia: Cardiac dysrhythmia is not a typical manifestation of an allergic reaction to amoxicillin. Allergic reactions generally involve the immune system and may present with symptoms such as skin rash, itching, or respiratory distress.
D. Insomnia: Insomnia is not a known side effect or manifestation of an allergic reaction to amoxicillin. Allergic reactions are more likely to involve immediate hypersensitivity responses, such as skin reactions or respiratory symptoms.
Correct Answer is A
Explanation
A. Bone loss:
This is the correct answer. Long-term use of corticosteroids, such as prednisone, is associated with an increased risk of osteoporosis and bone loss. This effect is particularly significant in older adults.
B. Hypoglycemia:
Prednisone is more likely to cause hyperglycemia (high blood sugar) rather than hypoglycemia. It can lead to insulin resistance and impaired glucose metabolism.
C. Liver toxicity:
Liver toxicity is not a common adverse effect of prednisone. Prednisone is metabolized in the liver, but significant liver toxicity is not a typical concern with its use.
D. Hemolytic anemia:
Hemolytic anemia is not a common adverse effect of prednisone. Corticosteroids can affect the immune system, but hemolytic anemia is not a typical manifestation.
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