A nurse is providing discharge teaching for a client with iron deficiency anemia. The client has been prescribed ferrous sulfate and has been told to increase the intake of foods that are naturally high in iron
Which client statements indicate a need for further education?
Select all that apply.
A) "I will take my ferrous sulfate tablet with my morning oatmeal."
B) "I will decrease my intake of green leafy vegetables while taking my ferrous sulfate tablet."
C) "I will increase my fluid intake while I am taking my ferrous sulfate."
D) "I will take my ferrous sulfate tablet on an empty stomach."
E) "I will decrease milk intake while taking my ferrous sulfate tablet."
Answer: B, D, E
Ferrous sulfate can cause gastric irritation and constipation. Taking it with a meal can help minimize gastrointestinal distress. The client should not decrease milk or green leafy vegetables from the diet as these are natural sources of iron and should be encouraged. Increasing fiber (oatmeal) and fluid intake can also help prevent constipation.
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