A nurse is teaching a class about medication interactions.
The nurse should include that iron preparations should be administered with which of the following?
Cheese.
Antacids containing magnesium.
Orange juice.
Milk.
The Correct Answer is C
Choice A rationale
Cheese is high in calcium, which can interfere with the absorption of iron by binding to it in the digestive tract, making it less available for absorption.
Choice B rationale
Antacids containing magnesium can interfere with the absorption of iron by increasing the pH of the stomach, reducing the solubility and absorption of iron.
Choice C rationale
Orange juice is high in vitamin C, which can enhance the absorption of iron by reducing it to a form that is more easily absorbed by the body.
Choice D rationale
Milk contains calcium, which can inhibit the absorption of iron. Calcium competes with iron for absorption in the intestines, leading to reduced iron absorption.
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Correct Answer is C
Explanation
Choice A rationale
The end of the stoma is typically not painful after the procedure. Pain at the stoma site could indicate complications such as infection or ischemia.
Choice B rationale
A healthy stoma should be pink or red in color. A purple color could indicate compromised blood flow or other complications that require medical attention.
Choice C rationale
The stoma is typically placed in the right lower abdomen to allow for easier management and care, as it is usually associated with the terminal ileum.
Choice D rationale
After an ileostomy, the stool is usually liquid to semi-formed, not solid, because the colon, which absorbs water to solidify stool, is bypassed.
Correct Answer is B
Explanation
Choice A rationale
An ileal conduit does not provide the client with control over elimination. It is a type of urinary diversion, and the client wears an external pouch to collect urine.
Choice B rationale
In an ileal conduit, the client's ureters are attached to a section of the small intestine, which is then brought to the surface of the abdomen to form a stoma. Urine flows through this conduit into an external pouch.
Choice C rationale
An ileal conduit is not a tube that directly connects the kidney to an external pouch. It involves using a section of the small intestine to create a passageway for urine to exit the body.
Choice D rationale
Stool is not passed through an ileal conduit. The ileal conduit is specifically for urinary diversion, while stool passes through the regular gastrointestinal tract.