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 D
Explanation
Choice A rationale: Placing the client in reverse Trendelenburg position is not the first priority; protecting the wound is more critical.
Choice B rationale: Administering IV antibiotics STAT is not the first priority in the presence of evisceration.
Choice C rationale: Using sterile gloves to replace the protruding parts is not the first intervention; covering the wound takes precedence.
Choice D rationale: Applying a sterile normal saline dressing is the first priority to cover and protect the exposed abdominal contents.
Correct Answer is C
Explanation
Choice A rationale: Shared responsibility is a necessary feature of a team, promoting collaboration and achievement of common goals.
Choice B rationale: Mutual independence allows team members to work together while maintaining individual contributions.
Choice C rationale: Working in the same department is not a necessary feature of a team. Teams can be effective regardless of their physical proximity.
Choice D rationale: Common purpose is essential for a team to work cohesively toward shared goals.
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