Nokea
A client receiving ferrous sulfate (Fer-Iron) therapy to treat an iron deficiency reports taking an antacid frequently to relieve heart burn. Which nursing instruction should the nurse provide?
- A. “Take ferrous sulfate and the antacid together.”
- B. “Take ferrous sulfate and the antacid at least 2 hours apart.”
- C. “Avoid taking an antacid altogether.”
- D. “Take ferrous sulfate and the antacid at least 1 hour apart.”
Correct Answer: B
Rationale: The correct answer is B: "Take ferrous sulfate and the antacid at least 2 hours apart."
Rationale:
1. Iron absorption is decreased in the presence of antacids due to decreased gastric acidity.
2. Antacids can bind to iron and reduce its absorption.
3. Taking them 2 hours apart allows for optimal iron absorption without interference from the antacid.
4. Taking them together (choice A) would decrease iron absorption.
5. Avoiding antacids altogether (choice C) may not be necessary if spaced apart appropriately.
6. Taking them 1 hour apart (choice D) may still lead to decreased iron absorption due to antacid interference.
You may also like to solve these questions
Considering Mr. Franco’s conditions, which of the following is most important to include in preparing Franco’s bedside equipment?
- A. Hand bell and extra bed linen
- B. Footboard and splint
- C. Sandbag and trochanter rolls
- D. Suction machine and gloves
Correct Answer: C
Rationale: Step 1: Mr. Franco's condition suggests he may need support and positioning.
Step 2: Sandbags provide stability and trochanter rolls prevent hip rotation.
Step 3: These help prevent pressure ulcers and maintain proper body alignment.
Step 4: Hand bell and bed linen are not essential for Mr. Franco's immediate care.
Step 5: Footboard and splint may not be relevant to his specific condition.
Step 6: Suction machine and gloves are important but not as crucial as positioning aids for Mr. Franco.
Summary: Choice C is correct as it directly addresses Mr. Franco's needs for support and positioning, while the other choices are less relevant or not as essential in this context.
A new nurse is working in a unit that uses interdisciplinary collaboration. Which action will the nurse take?
- A. Act as a leader of the health care team.
- B. Develop good communication skills.
- C. Work solely with nurses.
- D. Avoid conflict.
Correct Answer: B
Rationale: The correct answer is B: Develop good communication skills. In interdisciplinary collaboration, effective communication is essential for teamwork. By developing good communication skills, the nurse can effectively interact with other healthcare professionals to provide holistic care. Choice A is incorrect as the nurse should collaborate as part of a team, not necessarily be the leader. Choice C is incorrect as interdisciplinary collaboration involves working with professionals from various disciplines. Choice D is incorrect as conflict resolution is an important aspect of effective collaboration.
Which of the ff. interventions can help minimize complications related to Hypercalcemia?
- A. Encourage 3 to 4 L of fluid daily
- B. Place the patient on bed rest
- C. Have the patient cough and deep
- D. Apply heat to painful areas breathe every 2 hours
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct:
1. Hypercalcemia can lead to dehydration due to increased urine output.
2. Encouraging 3 to 4 L of fluid daily helps prevent dehydration and promote renal excretion of excess calcium.
3. Adequate hydration reduces the risk of kidney stones and other complications associated with hypercalcemia.
Summary of why other choices are incorrect:
- Choice B (bed rest) does not directly address hypercalcemia complications.
- Choice C (cough and deep breathe) is unrelated to managing hypercalcemia.
- Choice D (apply heat to painful areas) does not address the underlying cause of hypercalcemia or its complications.
. A client is diagnosed with the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should anticipate which laboratory test result?
- A. Decreased serum sodium level
- B. Increased blood urea nitrogen
- C. Decreased serum creatinine level (BUN) level
- D. Increased hematocrit
Correct Answer: A
Rationale: The correct answer is A: Decreased serum sodium level. In SIADH, there is an excessive release of ADH, causing water retention and dilution of sodium in the blood. This leads to hyponatremia. B: Increased blood urea nitrogen and C: Decreased serum creatinine level are not typically associated with SIADH. D: Increased hematocrit is not a typical finding in SIADH, as it is more related to dehydration. Therefore, the most anticipated laboratory test result in a client with SIADH is a decreased serum sodium level due to dilutional hyponatremia.
During the nursing interview Toni minimizes her visual problems talks about remaining in school to attempt advanced degrees, requests information about full-time jobs in nursing and mentions her desire to have several more children. The nurse recognizes her emotional responses as being:
- A. An example of inappropriate euphoria characteristic of the disease process
- B. A reflection of coping mechanisms used to deal with the exacerbation of her illness
- C. Indicative of the remission phase of her chronic illness
- D. Realistic for her current level of physical functioning
Correct Answer: B
Rationale: The correct answer is B because Toni's behavior of minimizing her visual problems, focusing on future goals, seeking information about job opportunities, and expressing desire for more children reflects coping mechanisms used to deal with the exacerbation of her illness. This behavior suggests that she is trying to maintain a sense of normalcy and control in the face of her health challenges.
A: Inappropriate euphoria is excessive happiness or excitement, which is not evident in Toni's behavior.
C: Remission phase typically involves a decrease in symptoms, which is not reflected in Toni's situation.
D: Realistic for her current level of physical functioning does not explain her behavior as coping mechanisms.