The nurse is providing patient education about iron replacement therapy. Which statement made by the patient best indicates an accurate understanding of this therapy?
a. "I will probably start having stomach upset after taking iron for a few months."
b. "If I notice black stools, I will need to notify my doctor immediately."
c. "I need to space the doses of iron evenly throughout the day."
d. "Taking iron with antacids will reduce gastric symptoms and improve absorption."
ANS: C
Doses should be spaced evenly throughout the day, because this provides the bone marrow with a continuous supply of iron, which maximizes RBC production.
GI upset typically would occur immediately if iron is taken on an empty stomach; taking iron with food can reduce stomach upset.
Black stools are expected with iron therapy.
Antacids have a drug-drug interaction with iron and reduce its absorption.
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