The nurse is providing discharge education to a patient with iron deficiency anemia. The patient has been prescribed to take an oral iron supplement. What will the nurse include in the teaching for this patient? (Select All That Apply)
Take the iron with dairy products to enhance absorption.
Always take iron supplements with meals.
Iron will cause the stools to darken in color.
Limit foods high in fiber due to the risk for diarrhea.
Include vitamin C-rich foods or drinks with your iron supplement.
Correct Answer : C,E
Choice A reason: Taking iron with dairy products to enhance absorption is incorrect. Calcium in dairy products can interfere with the absorption of iron. It is recommended to take iron supplements with water or vitamin C-rich foods to enhance absorption.
Choice B reason: Always taking iron supplements with meals is not necessary and can reduce absorption. Iron is best absorbed on an empty stomach, although taking it with food can help reduce gastrointestinal side effects. The timing should be individualized based on the patient's tolerance.
Choice C reason: Iron will cause the stools to darken in color, which is a common and harmless side effect of iron supplements. Patients should be informed about this to prevent unnecessary concern.
Choice D reason: Limiting foods high in fiber due to the risk of diarrhea is not necessary. High-fiber foods are generally beneficial for overall health and can help prevent constipation, which is a more common side effect of iron supplements.
Choice E reason: Including vitamin C-rich foods or drinks with your iron supplement is recommended. Vitamin C enhances the absorption of non-heme iron from supplements and plant-based sources, improving the efficacy of the treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Wheezing is a typical sound heard during bronchoconstriction, which occurs in conditions like asthma and COPD. It indicates that the airways are narrowed, causing the characteristic sound.
Choice B reason: Pulmonary edema typically presents with crackles or rales rather than wheezing. Wheezing would not be the primary indication of this condition.
Choice C reason: Hemoptysis refers to coughing up blood and does not typically present with wheezing. It might present with other sounds if there is an underlying lung issue, but wheezing is not specific to it.
Choice D reason: Pneumothorax generally presents with decreased or absent breath sounds on one side, not wheezing. It occurs when air enters the pleural space, causing lung collapse.
Correct Answer is B
Explanation
Choice A reason: Fruity-smelling breath is a symptom of ketoacidosis, not hypoglycemia. Ketoacidosis occurs when the body produces high levels of ketones due to a lack of insulin, leading to metabolic acidosis.
Choice B reason: Sweating and nervousness are common symptoms of hypoglycemia. Low blood glucose levels trigger the release of adrenaline, which causes these symptoms. Patients should check their blood glucose when experiencing these signs to prevent severe hypoglycemia.
Choice C reason: Nausea and vomiting are more associated with ketoacidosis. High blood glucose levels and the presence of ketones can cause gastrointestinal upset.
Choice D reason: Increased thirst and urination are also symptoms of hyperglycemia and ketoacidosis. These symptoms result from the body's attempt to eliminate excess glucose and ketones through urine.
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