A patient is prescribed an oral iron preparation. What should the nurse instruct this patient about this medication?
Select all that apply.
1. Take the medication with orange juice.
2. Nausea is expected with this medication.
3. Take the medication with an antacid.
4. Take the medication 2 hours before a scheduled tetracycline dose.
5. Take the medication with a vitamin E supplement.
Correct Answer: 1, 4
Iron preparations should be taken with orange juice to enhance absorption. If the patient is also taking tetracycline, the iron should be taken 2 hours before the tetracycline (iron reduces the absorption of tetracycline). The patient should avoid the use of drugs that might interact with iron, such as antacids and vitamin E. Nausea, diarrhea, and constipation are manifestations of iron toxicity.
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