The nurse should advise a client with iron deficiency anemia to take which action to prevent staining of the teeth?

Take iron with or immediately after meals

Dilute liquid preparations of iron with juice and drink with a straw

Do not combine iron with other prescribed or over-the-counter medications

Avoid taking iron simultaneously with an antacid

Answer and Explanation

The Correct Answer is B

Reasoning:

Choice A reason: Taking iron with meals reduces gastrointestinal upset but does not prevent tooth staining. Food may decrease iron absorption by binding to dietary components, but it has no direct effect on preventing contact between liquid iron preparations and teeth, which causes staining.

Choice B reason: Diluting liquid iron preparations with juice and drinking through a straw minimizes contact with teeth, preventing staining. Iron can bind to enamel, causing discoloration, and using a straw directs the solution past the teeth, reducing exposure while juice dilutes the concentration, protecting dental health.

Choice C reason: Avoiding combining iron with other medications prevents absorption interactions but does not address tooth staining. Certain drugs, like tetracycline, may interact with iron, but this is unrelated to the enamel discoloration caused by direct contact with liquid iron preparations.

Choice D reason: Avoiding antacids with iron prevents reduced absorption, as antacids increase gastric pH, impairing iron solubility. However, this does not prevent tooth staining, which occurs from direct contact of liquid iron with enamel, making this action irrelevant to the goal of dental protection.

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Correct Answer is A

Explanation

Reasoning:

Choice A reason: Early mobilization post-ischemic stroke is critical during recovery to prevent complications like deep vein thrombosis, pneumonia, and muscle atrophy. It promotes neuroplasticity, improves circulation, and enhances functional recovery, making it a priority intervention in the immediate recovery period to optimize outcomes and reduce disability.

Choice B reason: Maximizing PaCO2 is not appropriate post-ischemic stroke. Elevated CO2 causes cerebral vasodilation, potentially increasing ICP, which is harmful. Maintaining normal CO2 levels supports cerebral perfusion without exacerbating edema, making this intervention irrelevant or potentially dangerous in stroke recovery.

Choice C reason: Positioning to avoid ICP is more relevant for hemorrhagic stroke, where ICP is a concern. In ischemic stroke, ICP is less likely unless severe edema occurs. Early mobilization takes precedence to prevent complications and promote recovery, making ICP positioning a secondary concern.

Choice D reason: Administering hypertonic IV solutions is used in cases of cerebral edema or elevated ICP, more common in hemorrhagic stroke. In ischemic stroke, hydration with isotonic fluids supports perfusion, but early mobilization is the priority to enhance recovery and prevent immobility-related complications.

A. Explain that the client’s physical changes are a result of excessive corticosteroids B. Offer clothing or bedding that’s cool and comfortable C. Explain the rationale for increasing salt and fluid intake in times of illness, increased stress, and very hot weather D. Suggest a high-carbohydrate, low-protein diet

Correct Answer is A

Explanation

Reasoning:

Choice A reason: Explaining that physical changes in Cushing’s syndrome, like moon face and weight gain, result from excessive corticosteroids helps the client understand their condition. Cortisol excess causes fat redistribution and metabolic changes, and education promotes adherence to treatment and coping with body image changes, improving psychological and physical management.

Choice B reason: Offering cool, comfortable clothing or bedding addresses symptoms like heat intolerance in Cushing’s syndrome due to cortisol’s metabolic effects. However, it is less critical than education about the condition, as it does not address the underlying cause or promote understanding and adherence to long-term management strategies.

Choice C reason: Increasing salt and fluid intake is appropriate for Addison’s disease, not Cushing’s syndrome, where cortisol’s mineralocorticoid effects cause fluid retention and hypertension. This intervention could worsen fluid overload and hyponatremia, making it inappropriate and potentially harmful for managing Cushing’s syndrome symptoms.

Choice D reason: A high-carbohydrate, low-protein diet is not recommended for Cushing’s syndrome. Cortisol excess causes protein catabolism and hyperglycemia, so a balanced diet with adequate protein supports muscle maintenance and glucose control. This dietary suggestion does not address the metabolic needs of the condition.

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The nurse should advise a client with iron deficiency anemia to take which action to prevent staining of the teeth?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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