The nurse is providing discharge education for a client who will be taking ferrous sulfate orally. Which of the following statements should the nurse include in the teaching?

This medication helps you absorb vitamin B12.

Take your medication with a glass of milk instead of water.

Decrease your intake of meat and green leafy vegetables.

Drink acidic juices with the medication to help with absorption.

Answer and Explanation

The Correct Answer is D

A. Ferrous sulfate does not aid in vitamin B12 absorption; vitamin B12 requires intrinsic factor for absorption in the ileum.

B. Milk contains calcium, which can inhibit iron absorption, making it a poor choice for administration.

C. Meat and green leafy vegetables are high in iron, and their intake should not be reduced as they help maintain iron levels.

D. Acidic juices (such as orange juice) enhance iron absorption by keeping iron in its more soluble ferrous form.

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Correct Answer is C

Explanation

A. Warfarin is an anticoagulant and could worsen bleeding; it is contraindicated in GI bleeding cases.

B. Vitamin D is essential for bone health but does not directly treat anemia.

C. Iron supplements are commonly prescribed for anemia due to GI bleeding because chronic blood loss leads to iron deficiency. Iron supplementation helps replenish iron stores necessary for RBC production.

D. Zidovudine is an antiretroviral medication used for HIV treatment and is unrelated to anemia from GI bleeding.

A. 23. Which patent statement to the nurse indicates that the patient understands self-care for pernicious anemia? B. “I should increase intake foods rich in vitamin B6.” C. “I need to Start eating more red meat and liver.” D. “This condition with my bone marrow also increases my risk of infection and bleeding.” E. “I will require periodic vitamin B12 injections."

Correct Answer is D

Explanation

A. Vitamin B6 is important for overall health but does not treat pernicious anemia.

B. Increasing dietary intake of B12-rich foods like red meat and liver is ineffective since the body cannot absorb B12 due to intrinsic factor deficiency.

C. While some anemias affect bone marrow function, pernicious anemia is not associated with increased infection and bleeding risk.

D. Pernicious anemia is caused by a lack of intrinsic factor, which is necessary for vitamin B12 absorption. Since dietary B12 cannot be absorbed, lifelong vitamin B12 injections are required.

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The nurse is providing discharge education for a client who will be taking ferrous sulfate orally. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client diagnosed with anemia related to gastrointestinal (61) bleeding. Which prescription would the nurse expect at discharge?

Correct Answer is C

Explanation

should assess further before administering it.

Correct Answer is D

Explanation

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