The licensed practical/vocational nurse (LPN/VN) is reinforcing teaching to a client about newly prescribed iron supplementation.
Which of the following information should the LPN/VN include?
The licensed practical/vocational nurse (LPN/VN) is reinforcing teaching to a client about newly prescribed iron supplementation.
Which of the following information should the LPN/VN include?
A. "To minimize an upset stomach, take the iron supplements with milk."
[4%]
B. “Take the iron supplement with meals to avoid stomach upset."
[15%]
C. "Take the iron supplement with orange juice."
[77%]
D. "Iron supplements may cause diarrhea, and you should eat foods low in fiber."
[4%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Antepartum
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Adverse Effects/Contraindications/Side Effects/Interactions
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice C is correct. Iron is absorbed in the duodenum and proximal jejunum, and its uptake is enhanced in an acidic environment. Vitamin C (ascorbic acid)—present in citrus juices like orange juice—reduces ferric (Fe³⁺) iron to ferrous (Fe²⁺), the more absorbable form. Therefore, instructing the client to take iron with orange juice promotes optimal absorption.
Choice A is incorrect. Products containing calcium decrease the absorption of iron in the gastrointestinal tract. Therefore, avoid taking iron supplements with milk. If possible, avoid the intake of milk, calcium, calcium supplements, and/or any antacids two hours before or after taking an iron supplement.
Choice B is incorrect. Many of the nutrients contained within a meal will hinder a portion of the iron supplement’s absorption within the gastrointestinal tract. It is recommended that iron be taken on an empty stomach.
Choice D is incorrect. Iron supplements often cause constipation in clients. If this occurs, the client may need to increase water and fiber intake. Iron does not cause diarrhea.
Related Videos
3 Key Topics
Nutritional in Pregnancy
28.2 Maternal Nutrition & Safety
Additional Info
✓ Ferrous sulfate is a medication indicated to increase a client's iron levels
✓ This is a direct treatment for iron deficiency anemia
✓ Iron may cause a client to develop constipation and dark, tarry stools, which is expected
✓ This medication should be taken on an empty stomach
✓ Vitamin C enhances the absorption of iron supplementation
✓ Ferrous sulfate elixir may be diluted with juice or water to increase its palatability
✓ The client should use a straw when drinking the elixir to prevent teeth staining
