The nurse receives the following order: "Ferrous sulfate 325 mg four times a day PO. Give on empty stomach." Even before researching, the nurse guesses that this is because the medication:
is better absorbed when there is no food in the stomach.
can cause constipation.
is irritating to the gastric mucosa and may cause bleeding.
is destroyed by acid in the stomach.
The Correct Answer is A
A. Iron supplements such as ferrous sulfate are better absorbed on an empty stomach, as food can interfere with their absorption.
B. While constipation can be a side effect of iron supplementation, it is not the reason for giving it on an empty stomach.
C. Irritation to the gastric mucosa is not the primary reason for giving iron on an empty stomach.
D. Iron is not typically destroyed by stomach acid; rather, the concern is about its absorption being inhibited by food.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Poor skin turgor may indicate dehydration but is not directly related to oxygenation status.
B. Cyanosis, a bluish discoloration of the skin or mucous membranes, is a serious indication of decreased oxygenation.
C. Clubbing of the nails may be a sign of chronic hypoxia but is not as immediate an indication of deteriorating oxygenation as cyanosis.
D. Pursed-lip breathing is a compensatory mechanism often seen in clients with chronic obstructive pulmonary disease (COPD) but does not directly indicate deteriorating oxygenation as cyanosis does.
Correct Answer is C
Explanation
A. Anorexia is not typically associated with low serum magnesium levels.
B. Flushing/warmth of the skin is not typically associated with low serum magnesium levels.
C. Neuromuscular irritability, including muscle twitching, tremors, and spasms, is a common sign of hypomagnesemia (low serum magnesium levels).
D. Paresthesia (tingling or numbness) is more commonly associated with hypocalcemia rather than hypomagnesemia.
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