A nurse is reinforcing teaching with a client who has a prescription for ferrous sulfate elixir.
Which of the following statements by the client indicates an understanding of the teaching?
A.
“I can prevent nausea if I take the medication on an empty stomach.”
B.
“I will report black stools to my doctor.”
C.
“I will mix the medication with a full glass of water.”
D.
“I can prevent constipation if I drink more milk while taking this medication.”
The correct answer and Explanation is :
The correct answer is C. “I will mix the medication with a full glass of water.”
Explanation:
Ferrous sulfate is an iron supplement commonly prescribed to treat or prevent iron deficiency anemia. Understanding how to properly take this medication is crucial for its effectiveness and for minimizing potential side effects.
- Absorption and Effectiveness:
Taking ferrous sulfate with a full glass of water (Option C) helps in several ways. It aids in dissolving the elixir, which can enhance absorption in the gastrointestinal tract. Proper hydration can also minimize the risk of gastrointestinal irritation or discomfort that some patients may experience with iron supplements. Additionally, water helps to ensure that the medication is distributed evenly throughout the digestive system, which can improve its effectiveness. - Common Misconceptions and Issues:
- Option A: Taking ferrous sulfate on an empty stomach is often recommended to enhance absorption because food can inhibit iron absorption. However, the statement about preventing nausea is incorrect. Iron supplements can cause gastrointestinal upset, including nausea, regardless of whether they are taken on an empty stomach or with food. To minimize nausea, it is often suggested to take the medication with a small amount of food or to start with a lower dose and gradually increase it.
- Option B: Black stools are a common and expected side effect of iron supplementation due to the iron itself. This can be alarming to patients but is generally not a cause for concern. Instead, it is usually advised to inform a healthcare provider if there are other symptoms like severe abdominal pain or persistent gastrointestinal issues.
- Option D: Drinking milk is not recommended for preventing constipation caused by iron supplements. In fact, milk and other dairy products can interfere with iron absorption. Instead, increasing dietary fiber, staying hydrated, and possibly using stool softeners can help manage constipation.
Overall, mixing the medication with a full glass of water (Option C) is the most appropriate method for improving the effectiveness and minimizing discomfort associated with taking ferrous sulfate.