The pregnant client with significant iron deficiency anemia is prescribed iron supplements. The client confides to the nurse that she can't take iron because it makes her nauseous. What is the best response by the nurse?
a. "Iron will be absorbed more readily if taken with orange juice."
b. "It is important to take this drug regardless of this side effect."
c. "Taking the drug with milk may decrease your symptoms."
d. "Try taking the iron at bedtime on an empty stomach."
ANS: D
Iron taken at bedtime may be easier to tolerate. All the answers are true statements; however, only the option that states that iron taken at bedtime may be easier to tolerate addresses both optimal absorption of iron and alleviation of nausea, which will not be noticeable during sleep. It is true that taking iron with milk will decrease the symptoms, but it will also decrease absorption.
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