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. Side-lying on the affected side: Placing the client on the side of the affected hip is contraindicated after a total hip arthroplasty because it increases the risk of dislocation due to pressure and movement on the surgical site.
B. Prone with the legs adducted: Prone positioning is generally avoided post-hip arthroplasty, especially with legs adducted, as it may stress the hip joint and increase the risk of dislocation or injury. Hip precautions usually recommend avoiding adduction after surgery.
C. Supine with the head slightly elevated: This is the safest and most recommended position post-hip arthroplasty to maintain proper alignment and reduce dislocation risk. Slight head elevation promotes comfort without compromising hip precautions, and pillows may be used to maintain abduction if needed.
D. High-Fowler's with a pillow under the knees: High-Fowler’s position may cause excessive hip flexion beyond recommended limits (usually less than 90 degrees), increasing the risk of dislocation. Additionally, placing pillows under the knees can promote hip flexion contractures.

A. Thrombocytopenia B. Thalassemia C. Rheumatoid arthritis D. COPD

Correct Answer is A

Explanation

A. Thrombocytopenia: Heparin-induced thrombocytopenia (HIT) is a serious complication where heparin causes a significant drop in platelet count, increasing the risk of bleeding and thrombosis. Administering heparin to a client with existing thrombocytopenia can worsen this condition.
B. Thalassemia: This genetic blood disorder affects hemoglobin production but does not directly contraindicate heparin use. While clients with thalassemia may have anemia or other complications, heparin is not specifically contraindicated unless there are bleeding risks or platelet abnormalities.
C. Rheumatoid arthritis: This autoimmune disorder involves chronic inflammation and joint damage but is not a contraindication to heparin. Clients with rheumatoid arthritis can safely receive heparin unless other bleeding risks or coagulation abnormalities are present.
D. COPD: Chronic obstructive pulmonary disease affects lung function but does not directly contraindicate heparin administration. Heparin may actually be necessary if the client has a risk of thrombosis related to immobility or other factors associated with COPD.

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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.