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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","E"]

Explanation

A. Verify the solution with another RN prior to infusion: Double-checking the TPN solution with another nurse ensures the correct formulation, concentration, and compatibility, preventing potentially dangerous medication errors and ensuring patient safety.
B. Monitor serum blood glucose during infusion: Because TPN solutions are high in glucose, they can cause significant fluctuations in blood sugar levels. Frequent monitoring allows for timely detection and management of hyperglycemia or hypoglycemia, which can prevent complications.
C. Increase the rate of infusion if administration is delayed: Increasing the infusion rate without provider authorization can lead to fluid overload, electrolyte imbalances, or metabolic disturbances. TPN should be administered at a consistent rate to maintain metabolic stability.
D. Infuse 0.99% sodium chloride if the solution is not available: Administering normal saline instead of TPN can cause hypoglycemia because it lacks the necessary glucose; a 10% dextrose solution is preferred to maintain blood glucose levels until TPN is available.
E. Obtain the client's weight daily: Daily weights provide objective data on the client’s fluid balance and nutritional status, allowing healthcare providers to assess the effectiveness of TPN therapy and adjust the treatment plan accordingly.

A. Administer 0.9% sodium chloride. B. Check potassium levels. C. Initiate a continuous IV insulin infusion. D. Begin bicarbonate continuous IV infusion.

Correct Answer is A

Explanation

A. Administer 0.9% sodium chloride: The priority intervention in diabetic ketoacidosis is fluid resuscitation using isotonic saline (0.9% sodium chloride). Clients with DKA are severely dehydrated due to osmotic diuresis, and restoring intravascular volume is critical.
B. Check potassium levels: Potassium monitoring is essential in DKA because insulin therapy can shift potassium into cells, leading to hypokalemia. However, while important, potassium checks are not the first intervention—volume resuscitation takes precedence.
C. Initiate a continuous IV insulin infusion: Insulin therapy is a key treatment in DKA to reduce hyperglycemia and suppress ketogenesis. However, it should only be initiated after volume status begins to stabilize and potassium levels are confirmed to be ≥3.3 mEq/L.
D. Begin bicarbonate continuous IV infusion: Bicarbonate therapy is reserved for clients with severe acidosis (pH <6.9), as it can have adverse effects such as hypokalemia or impaired oxygen release. It is not a routine or first-line intervention in the majority of DKA cases.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

A nurse is caring for a client who is experiencing diabetic ketoacidosis (DKA). Which of the following is the priority intervention by the nurse?

Correct Answer is A

Explanation

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

A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?

A nurse is assessing a client who has a pressure injury. Which of the following findings should the nurse expect as an indication the wound is healing?

A nurse in a health clinic is caring for a client. Exhibits Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing dropdowndue todropdown.

The nurse is reviewing the client's medical record. Exhibits A nurse is reviewing the client's diagnostic results and vital signs. Which of the following actions should the nurse take? Select all that apply.

A nurse is caring for a client who has chronic kidney failure. The client received hemodialysis 1 hr ago. The nurse should identify that which of the following findings is a manifestation of a complication related to the procedure?

A home health nurse is planning to use nonpharmacological pain relief measures for a client who has severe chronic back pain. Which of the following pain management guidelines should the nurse use?

A nurse is assessing a client following extubation from a ventilator. For which of the following findings should the nurse intervene immediately?

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.