A client has been prescribed ferrous sulfate (Feosol) for iron-deficiency anemia. Which statement by the client indicates a need for further teaching?
1. "Iron should be taken with meals."
2. "Vitamin C increases the absorption of iron."
3. "Antacids and food decrease the absorption of iron."
4. "Calcium (including dairy products) and bran block ferrous sulfate's absorption."
Correct Answer: A
Rationale 1: Although taking iron with meals will lessen GI upset, food can decrease the absorption of iron by as much as 70%. It is recommended that iron preparations be administered 1 hour before or 2 hours after a meal.
Rationale 2: "Vitamin C increases the absorption of iron" is incorrect because this statement is true.
Rationale 3: "Antacids and food decrease the absorption of iron" is incorrect because this statement is true.
Rationale 4: "Calcium (including dairy products) and bran block ferrous sulfate's absorption" is incorrect because this statement is true.
Global Rationale: Although taking iron with meals will lessen GI upset, food can decrease the absorption of iron by as much as 70%. It is recommended that iron preparations be administered 1 hour before or 2 hours after a meal. "Vitamin C increases the absorption of iron" is incorrect because this statement is true. "Antacids and food decrease the absorption of iron" is incorrect because this statement is true. "Calcium (including dairy products) and bran block ferrous sulfate's absorption" is incorrect because this statement is true.
You might also like to view...
A nurse is providing care for an 81-year-old Hispanic woman in the context of a geriatric medicine unit of a hospital. Which of the following phenomena should the nurse anticipate?
A) The client's family is likely to advocate for her placement in a nursing home at an early stage. B) The client is likely to prioritize the role of spirituality in the healing process. C) She is likely to forego medical or traditional treatment due to a fatalistic view of health and illness. D) The woman's family will most likely delegate responsibility for her care to the hospital care team.
An older client with osteoarthritis is discussing pain relief with a nurse. The client has been advised to take
acetaminophen (Tylenol) for pain. Instructions should include which of the following information? A) Excessive acetaminophen can cause gastrointestinal irritation. B) The maximum amount of acetaminophen ingested should not exceed 4 grams in a 24-hour period. C) Acetaminophen cannot be used with nonsteroidal anti-inflammatory drugs (NSAIDs). D) Taking acetaminophen around-the-clock will slow the progression of osteoarthritis.
In the morning, a nurse receives a report on four pediatric clients, each of whom has some form of fluid volume excess. Which child should the nurse check first? The child with:
1. Periorbital edema, normal respiratory rate. 2. Tachypnea and pulmonary congestion. 3. Dependent and sacral edema, regular pulse. 4. Hepatomegaly, normal respiratory rate.
The nurse is assessing a patient who is diagnosed with pelvic inflammatory disease (PID). Which form of contraception in the patient's health history could have contributed to this diagnosis?
1) Intrauterine device 2) Diaphragm 3) Oral contraceptives 4) Latex condoms