A patient has been prescribed over-the-counter oral iron supplementation. What medication information should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

Question

1. Take the iron supplement right before bedtime.
2. Iron is absorbed better if taken with food or liquids that contain vitamin C.
3. Iron may be constipating, so a stool softener may be necessary.
4. Take the iron at mealtime or with a snack to prevent heartburn.
5. Do not take iron with any dairy foods.

Answer 1

2,3,4
Rationale 1: The patient should avoid lying down for at least an hour after taking oral iron.
Rationale 2: Taking iron with a vitamin C–containing food increases absorption.
Rationale 3: Iron is very constipating to some people. Stool softeners are often prescribed at the same time iron is prescribed.
Rationale 4: Iron can cause heartburn if taken on an empty stomach. Taking iron with food can reduce this effect.
Rationale 5: There is no reason iron should not be taken with dairy foods.