Difficulty: Medium
Average Score: 72%
Simulated
A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?
Correct answer
C
Rationale
Correct Answer: C - "I should stay upright for at least 15 minutes after taking this medication."
Rationale: Ferrous gluconate can cause gastrointestinal irritation and should be taken with a full glass of water and the client should remain upright for at least 15-30 minutes to prevent esophageal irritation or ulceration. This is important to prevent adverse effects and ensure proper absorption of the medication.
Incorrect Choices:
A: "I should notify my provider if my stools turn black." - While black stools can indicate gastrointestinal bleeding, it is not a specific teaching point related to ferrous gluconate.
B: "I should take this medication with 8 ounces of milk." - Taking iron supplements with milk can decrease absorption due to calcium interference.
D: "I should take an antacid with this medication to prevent stomach upset." - Antacids can decrease iron absorption and should not be taken together.
E: Repetition of choice D.
Rationale: Ferrous gluconate can cause gastrointestinal irritation and should be taken with a full glass of water and the client should remain upright for at least 15-30 minutes to prevent esophageal irritation or ulceration. This is important to prevent adverse effects and ensure proper absorption of the medication.
Incorrect Choices:
A: "I should notify my provider if my stools turn black." - While black stools can indicate gastrointestinal bleeding, it is not a specific teaching point related to ferrous gluconate.
B: "I should take this medication with 8 ounces of milk." - Taking iron supplements with milk can decrease absorption due to calcium interference.
D: "I should take an antacid with this medication to prevent stomach upset." - Antacids can decrease iron absorption and should not be taken together.
E: Repetition of choice D.