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The nurse is caring for the client who has iron deficiency anemia.

Which of the following instructions should the nurse include? Select all that apply.

Increase sources of fiber in the diet.

Take an antacid within 30 min after medication administration.

Increase intake of milk and dairy products.

Take the medication with a source of vitamin C.

Take the medication on an empty stomach.

Answer and Explanation

Correct Answer : A,D,E

Increase sources of fiber in the diet: Increasing dietary fiber is important for maintaining bowel health, especially when taking iron supplements, as constipation is a common side effect of iron therapy. A higher fiber intake can help alleviate constipation and promote regular bowel movements.
Take the medication with a source of vitamin C: Vitamin C enhances iron absorption in the gastrointestinal tract. Clients should be instructed to take ferrous sulfate with vitamin C-rich foods (such as citrus fruits) or beverages (like orange juice) to maximize absorption and improve the effectiveness of the iron supplement.
Take the medication on an empty stomach: Iron supplements are best absorbed when taken on an empty stomach, ideally 1 hour before or 2 hours after meals. However, if gastrointestinal upset occurs, the client may take the medication with food to minimize discomfort, but this can reduce absorption.

Take an antacid within 30 min after medication administration: Antacids can interfere with the absorption of iron supplements. Clients should be advised to avoid antacids for at least 2 hours before or after taking iron supplements to ensure proper absorption.
Increase intake of milk and dairy products: Calcium in milk and dairy products can inhibit iron absorption when consumed simultaneously. Clients should be advised to avoid consuming these products around the time they take their iron supplement for optimal absorption.

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Correct Answer is D

Explanation

A. Position the client with the head of the bed elevated to a 15° angle: Clients with pericarditis typically experience relief when sitting up and leaning forward, as this reduces pressure on the inflamed pericardium. A 15° elevation is too low to provide significant relief.

B. Check the client for jugular venous flattening: Pericarditis, especially when complicated by cardiac tamponade, leads to jugular venous distension rather than flattening due to impaired venous return to the heart.

C. Administer an anticoagulant medication to the client: Anticoagulants are not routinely used in pericarditis because they may increase the risk of hemorrhagic pericardial effusion, particularly if pericarditis is due to an inflammatory or infectious cause.

D. Assess the client for a paradoxical blood pressure: Pulsus paradoxus, a significant drop in systolic blood pressure during inspiration, is a key sign of cardiac tamponade, a life-threatening complication of pericarditis. Monitoring for this helps in early detection and management.

A. Reduced cravings B. Somnolence C. Euphoria D. Dilated pupils

Correct Answer is A

Explanation

A. Reduced cravings: Methadone is a long-acting opioid agonist that helps suppress cravings and withdrawal symptoms in individuals with opioid use disorder. By stabilizing opioid levels in the body, it prevents the compulsive drug-seeking behavior associated with addiction.

B. Somnolence: While methadone can cause sedation, excessive drowsiness is not a therapeutic effect but rather a side effect that may indicate the need for dose adjustment. Therapeutic use should allow normal functioning without excessive sedation.

C. Euphoria: Unlike short-acting opioids, methadone is formulated to prevent euphoria when taken at prescribed doses. Experiencing euphoria may indicate misuse or an excessively high dose rather than a therapeutic response.

D. Dilated pupils: Methadone, as an opioid agonist, typically causes pupil constriction (miosis) rather than dilation. Dilated pupils may indicate withdrawal or intoxication with other substances rather than therapeutic effects of methadone.

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The nurse is caring for the client who has iron deficiency anemia. Which of the following instructions should the nurse include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has pericarditis. Which of the following interventions should the nurse implement?

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving methadone therapy as treatment for an opioid use disorder. Which of the following findings should indicate to the nurse that the client is experiencing the therapeutic effects of this medication?

Correct Answer is A

Explanation

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The nurse is caring for the client who has iron deficiency anemia.

Which of the following instructions should the nurse include? Select all that apply.