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

Exhibits

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

Take the medication on an empty stomach.

Increase sources of fiber in the diet.

Take the medication with a source of vitamin C.

Take an antacid within 30 min after medication administration.

Increase intake of milk and dairy products.

Answer and Explanation

Correct Answer : A,B,C

A. Take the medication on an empty stomach: Iron is best absorbed in an acidic environment, so taking it 1 hour before or 2 hours after meals optimizes absorption. Although some clients may experience GI upset, the empty stomach approach remains ideal for absorption.
B. Increase sources of fiber in the diet: Iron supplements commonly cause constipation. Increasing dietary fiber through fruits, vegetables, and whole grains helps counteract this effect and promotes regular bowel function.
C. Take the medication with a source of vitamin C: Vitamin C enhances iron absorption by converting it into its more absorbable ferrous form. Pairing the supplement with orange juice or other vitamin C-rich foods improves treatment effectiveness.
D. Take an antacid within 30 min after medication administration: Antacids increase gastric pH, which reduces iron solubility and absorption. They should be avoided within 2 hours before or after iron intake to maintain optimal efficacy of the supplement.
E. Increase intake of milk and dairy products: Dairy products are rich in calcium, which competes with iron for absorption in the small intestine. Consuming them close to iron administration diminishes the supplement’s effectiveness and should be avoided.

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Correct Answer is C

Explanation

A. Erythema: Mild redness around a surgical site can be expected in the early postoperative period due to inflammation from healing. However, it should be monitored closely for any signs of spreading or increased intensity.
B. Ecchymotic skin: Bruising around the incision can occur from surgical manipulation and is not uncommon postoperatively. It typically resolves on its own unless accompanied by other signs of complications.
C. Purulent drainage: This indicates a likely wound infection and should be reported immediately. Purulent drainage is typically yellow, green, or foul-smelling, and its presence suggests bacterial growth, requiring prompt medical evaluation and possible antibiotic treatment.
D. Edema: Mild swelling is expected in the postoperative period as part of the inflammatory response to surgery. It should be monitored, but it does not typically require immediate provider notification unless it worsens significantly.

A. Furosemide B. Dopamine C. Desmopressin acetate D. Spironolactone

Correct Answer is C

Explanation

A. Furosemide: Furosemide is a loop diuretic used to treat fluid overload by increasing urinary output. In a client with diabetes insipidus who is already losing excessive fluid, this medication would worsen dehydration and is contraindicated.
B. Dopamine: Dopamine is a vasopressor and inotropic agent used in conditions like shock to support blood pressure and cardiac output. It does not address the underlying cause of diabetes insipidus or its associated polyuria.
C. Desmopressin acetate: Desmopressin is a synthetic analog of antidiuretic hormone (ADH) used to treat central diabetes insipidus by reducing urine output and concentrating urine. It directly compensates for the ADH deficiency that causes the condition.
D. Spironolactone: Spironolactone is a potassium-sparing diuretic used in conditions like heart failure or hyperaldosteronism. It promotes urine output and would not help reduce polyuria in diabetes insipidus, making it inappropriate in this case.

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

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

Exhibits

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