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.
is destroyed by acid in the stomach
can cause constipation
is irritating to the gastric mucosa and may cause bleeding
The Correct Answer is B
Choice A rationale: Iron absorption is influenced by several factors, including the presence of food in the stomach. Food can interfere with iron absorption by forming
insoluble complexes with iron, reducing its bioavailability. Therefore, ferrous sulfate should be taken on an empty stomach, preferably one hour before or two hours after meals, to enhance its absorption and effectiveness.
Choice B rationale: Ferrous sulfate is not destroyed by acid in the stomach but instead acid enhances iron absorption by keeping it in a soluble form.
Choice C rationale: Constipation is a common side effect of iron supplementation, but this is not the primary reason for taking it on an empty stomach.
Choice D rationale: Ferrous sulfate can cause gastrointestinal bleeding in some cases, but this is not the primary reason for taking it on an empty stomach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E"]
Explanation
Choice A rationale: Diluting potassium elixir in juice is not a priority intervention for a critically elevated potassium level. Immediate actions are needed.
Choice B rationale: Monitoring intake and output is important, but it is not the highest priority when the potassium level is critically elevated.
Choice C rationale: Assessing the client for muscle weakness and flaccid paralysis is a high priority because hyperkalemia can lead to serious cardiac and neuromuscular complications.
Choice D rationale: Encouraging intake of orange juice or a banana may be appropriate for managing mild hypokalemia, but it is not the priority for a client with critically elevated potassium.
Choice E rationale: Obtaining a physician's order for cardiac monitoring is crucial, as hyperkalemia can lead to life-threatening cardiac dysrhythmias.
Correct Answer is D
Explanation
Choice A rationale: Norming is characterized by the development of group cohesion and establishment of norms, not necessarily high-level problem-solving.
Choice B rationale: Storming is marked by conflict and tension within the group, not optimal problem-solving.
Choice C rationale: Forming is the initial stage where members get to know each other; it does not represent a highly functioning team.
Choice D rationale: Performing is the stage where the group is functioning at its highest level, demonstrating effective problem-solving and productivity.
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