The nurse provides discharge teaching to an older client diagnosed with iron deficiency anemia. Which statement by the client best indicates the client understands the teaching?

Question

1. "I will take my ferrous sulfate tablet with lunch or dinner."
2. "An appointment for lab work is scheduled in 2 weeks and again in 2 months."
3. "I will eat oatmeal with milk for breakfast while I am on ferrous sulfate."
4. "Increasing my fluid intake by drinking mostly fruit juice is helpful."

Answer 1

2. "An appointment for lab work is scheduled in 2 weeks and again in 2 months."

Explanation: 1. To minimize gastrointestinal distress, ferrous sulfate should be taken with meals. Taking it later in the evening may increase gastrointestinal upset, though.
2. Labs are done in 1-2 weeks and at 2 months to ensure the therapy is having the desired effect.
3. Ferrous sulfate increases the risk of constipation. Ingesting oatmeal could reduce the risk of developing constipation from this medication. When taking iron, milk should be avoided because it decreases absorption.
4. Ferrous sulfate increases the risk of constipation. Increasing fluids will help reduce the risk of developing constipation from this medication. Juices that contain vitamin C will increase the absorption of iron. However, a diet that drastically increases juice intake is too full of sugar and not advised.