A patient is prescribed an oral iron preparation. What should the ...

[Engineer]

A patient is prescribed an oral iron preparation. What should the nurse instruct this patient about this medication?
 
  Select all that apply.
  1. Take the medication with orange juice.
  2. Nausea is expected with this medication.
  3. Take the medication with an antacid.
  4. Take the medication 2 hours before a scheduled tetracycline dose.
  5. Take the medication with a vitamin E supplement.

Question 2

The nurse is providing dietary instructions to a vegetarian patient with iron deficiency anemia. What should be included in these instructions?
 
  1. Consider adding animal sources of iron and protein to the diet.
  2. Ensure an adequate intake of vitamin C when consuming non-animal-based proteins.
  3. Drink at least 12 glasses of water every day.
  4. Avoid exercise at least 30 minutes after completing a meal or snack.

[blakcmamba]

Answer to Question 1

Correct Answer: 1, 4
Iron preparations should be taken with orange juice to enhance absorption. If the patient is also taking tetracycline, the iron should be taken 2 hours before the tetracycline (iron reduces the absorption of tetracycline). The patient should avoid the use of drugs that might interact with iron, such as antacids and vitamin E. Nausea, diarrhea, and constipation are manifestations of iron toxicity.

Answer to Question 2

Correct Answer: 2
Heme iron makes up about one-half of the iron from animal sources. Nonheme iron includes the remaining iron from animal sources and all the iron from plants, legumes, and nuts. Absorption of nonheme iron is enhanced by vitamin C and inhibited by tea and coffee. Suggesting animal sources of iron and protein for a vegetarian patient would not be appropriate. Water consumption and physical activity would have no bearing on this issue.

[Engineer]

Thank you

[blakcmamba]

Happy to help you