The nurse is educating a client on the use of oral ferrous sulfate. Which statement made by the client requires a need for further education?

"I will increase my fluid and fiber intake while I am taking iron tablets."

"I will take the tablets with water an hour before eating."

"I will immediately call my health care provider if my stools turn green."

"I will take a stool softener if I occasionally feel constipated."

Answer and Explanation

The Correct Answer is C

A. "I will increase my fluid and fiber intake while I am taking iron tablets.": This statement is correct as increasing fluid and fiber can help manage constipation, a common side effect of iron supplementation.
B. "I will take the tablets with water an hour before eating.": This is correct because taking iron supplements on an empty stomach can improve absorption, and water helps dissolve the tablets.
C. "I will immediately call my health care provider if my stools turn green.": This statement indicates a misunderstanding, as green stools are a common and harmless side effect of iron supplements. They are not typically a cause for concern unless accompanied by other symptoms.
D. "I will take a stool softener if I occasionally feel constipated.": This is a correct and appropriate approach, as stool softeners can help alleviate constipation caused by iron supplements.

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Correct Answer is B

Explanation

A. Hypercholesterolemia: This condition primarily affects cholesterol levels and is not directly associated with phosphorus imbalances. It does not typically cause hypophosphatemia.
B. Malnutrition: This is the correct choice. Malnutrition can lead to hypophosphatemia (low serum phosphorus levels) due to inadequate dietary intake of phosphorus and impaired absorption.
C. Renal insufficiency: Renal insufficiency generally causes hyperphosphatemia (high serum phosphorus levels) due to the kidneys' reduced ability to excrete phosphate, not hypophosphatemia.
D. Hypoparathyroidism: This condition is more commonly associated with hypocalcemia (low calcium levels) rather than hypophosphatemia. In some cases, hypoparathyroidism can cause elevated phosphorus levels, but not typically hypophosphatemia.

A. Tell the client he can no longer have any more pain medication B. Notify the prescribing physician C. Administer half the dose of morphine, 2 mg IV D. Administer 4 mg of morphine IV as ordered

Correct Answer is B

Explanation

A. Tell the client he can no longer have any more pain medication: This is not appropriate. The client’s severe pain needs to be managed, but the current vital signs suggest a need for careful evaluation before administration.
B. Notify the prescribing physician: This is the correct choice. The client's blood pressure and respiratory rate are significantly low, which could be exacerbated by morphine. The physician needs to be informed to reassess pain management and possibly adjust the treatment.
C. Administer half the dose of morphine, 2 mg IV: Given the client's low blood pressure and respiratory rate, any morphine administration could worsen these issues. Adjusting the dose without physician guidance is not appropriate.
D. Administer 4 mg of morphine IV as ordered: Administering the full dose without addressing the client’s low blood pressure and respiratory rate could lead to severe complications.

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The nurse is educating a client on the use of oral ferrous sulfate. Which statement made by the client requires a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse reviews a client's laboratory report and notes that the client's serum phosphorus (phosphate) level is 1.8 mg/dL. Which condition most likely caused this serum phosphorus level?

Correct Answer is B

Explanation

A client indicates to the nurse a pain level of 8 out of 10. The nurse notes the client has an order for morphine 4 mg IV Q 6 hr PRN for moderate to severe pain. The client's blood pressure is 80/54 mm Hg, respirations 10 breaths/min, and pulse 62 beats/min. Which action should the nurse take?

Correct Answer is B

Explanation

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