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Chapter 34: Problem 361

A pregnant woman has been found to be very anemic. Because she can't take pills, liquid iron supplements have been ordered. Which direction would the nurse give the client about taking the liquid iron preparation? A. Take the iron with milk B. Drink the iron through a straw C. Take the iron on an empty stomach D. Take the iron at the same time every day

Short Answer

Expert verified
Drink the liquid iron through a straw.

Step by step solution

01

Understand the Problem

The problem is about giving the correct direction to a pregnant woman who needs to take liquid iron supplements but cannot take pills. It's important to know how iron absorption is maximized and any precautions necessary.
02

Analyze Each Option

Evaluate each option provided to determine the best direction for taking liquid iron: A) Taking iron with milk B) Drinking iron through a straw C) Taking iron on an empty stomach D) Taking iron at the same time every day
03

Evaluate Option A

Option A advises taking iron with milk, but calcium in milk can interfere with iron absorption, making this option less suitable.
04

Evaluate Option B

Option B advises drinking iron through a straw. Iron preparations can stain teeth, so using a straw helps prevent this. This makes it a good precautionary direction.
05

Evaluate Option C

Option C advises taking iron on an empty stomach. Iron is better absorbed when taken on an empty stomach, making this direction valuable if tolerated by the woman.
06

Evaluate Option D

Option D advises taking iron at the same time every day. While consistency is generally good, this direction does not directly address the effectiveness and precautionary aspects of the iron intake.
07

Determine the Best Options

The best directions are those that maximize iron absorption and prevent potential negative side effects. Both B (drinking through a straw to avoid teeth staining) and C (taking on an empty stomach for better absorption) provide essential guidance.
08

Conclusion

Given the options, the best immediate and practical direction for the client would be B, drinking the liquid iron through a straw, as it addresses a common side effect directly.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Iron Absorption
Iron is a crucial mineral, especially during pregnancy, as it helps in making extra blood for the baby and placenta. For optimal absorption, you should avoid taking iron with certain foods and drinks. Calcium-rich foods, like dairy products, can inhibit iron absorption. Similarly, tannins in tea and coffee can also hinder effectiveness. Instead, pairing iron intake with Vitamin C-rich foods, like oranges or strawberries, can help increase absorption. Another tip is to take iron on an empty stomach if tolerated, as this can further enhance absorption. For those with sensitive stomachs, a small snack may be necessary.
Nursing Guidelines
Nurses play a vital role in guiding patients on how to correctly take iron supplements. Key directions include:
- **Using a Straw:** Liquid iron supplements can stain teeth. Advising patients to drink it through a straw can prevent this.
- **Empty Stomach:** Recommend taking iron on an empty stomach for better absorption. However, for those with gastrointestinal discomfort, a slight adjustment may be necessary.
- **Timing:** Taking iron at the same time each day can help establish a routine and ensure consistent levels in the body.
By offering these guidelines, nurses can help to optimize the benefits while minimizing any potential side effects for patients.
Iron Supplement Intake
When taking iron supplements, timing and method are crucial. Here are key recommendations:
- **Avoid Certain Foods:** Don鈥檛 take iron with milk, coffee, or tea, as these can interfere with absorption.
- **Increase Vitamin C Intake:** Pair iron with foods high in Vitamin C, such as citrus fruits, to boost absorption.
- **Monitor Dosage:** Make sure to follow the recommended dosage. Overconsumption can lead to iron toxicity.
- **Consistency:** Try to take your supplement at the same time daily to help build a habit and maintain consistent iron levels. Proper intake ensures you're maximizing the supplement's benefits and supporting your overall health and pregnancy.

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Most popular questions from this chapter

Which precaution measures would be instituted when a client has shigella? Mark all that apply. A. Client is placed in a private, negative airflow pressure room. B. Client is placed in a private room or with other clients with infection caused by the same organism. C. __ Use mask at all times while in the client's room. D. Use mask when working within 3 feet of the client. E. ___Use gown and protective barriers when giving direct care. F. ___ Mask on client if transported out of room. G. Use gloves at all times when caring for clients. H. Use gloves when there is risk of exposure to blood or body fluids.

Which instruction should the nurse give a client for whom a vaginal cream has been prescribed? A. Lie on your left side for about 5 minutes. B. Remain supine with hips elevated for 5鈥�10 minutes. C. Remove excess medication with soap and water in 15 minutes. D. Urinate and wipe front to back in 15鈥�30 minutes.

Which statement made by a client who has a fractured hip indicates the need for additional teaching about required activity restrictions? A. "I can't fully extend my leg at the hip for one month." B. "I won't be able to cross my knees for up to 8 weeks." C. "I can't put weight on the affected leg until my doctor says to." D. "I can flex my hip but not more than 90 degrees for up to 2 months.

A nurse is performing peritoneal dialysis and instills \(2 \mathrm{~L}\) of dialysate into the peritoneal cavity. After 30 minutes has elapsed, the client returns only \(1 \mathrm{~L}\) of solution. The nurse should: A. have the client roll from side to side. B. gather a syringe and pull fluid from the peritoneal cavity. C. apply warm compresses to the abdomen. D. stop the process and call the physician.

A client is receiving vancomycin intravenously when the nurse notices the client's neck and face becoming red. The immediate response by the nurse should be to: A. notify the physician B. stop the infusion C. administer benadryl D. do nothing since this is a common reaction to vancomycin
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