Question

A patient with iron deficiency anemia who is taking oral iron supplements is evaluated by the nurse in the outpatient clinic. Which finding by the nurse is of most concern?

A) The patient reports that stools are black.
B) The patient complains of occasional constipation.
C) The patient takes a multivitamin tablet every day.
D) The patient takes an antacid with the iron to avoid nausea.

Answer 1

The most concerning finding is that the patient takes an antacid with the iron supplement to avoid nausea, as antacids can impede iron absorption, which counters the treatment for iron deficiency anemia.

Step-by-step explanation:

The most concerning finding by the nurse for a patient with iron deficiency anemia taking oral iron supplements is D) The patient takes an antacid with the iron to avoid nausea. Antacids can decrease the absorption of iron by increasing the pH levels in the stomach, which is necessary for the proper absorption of iron. This may contribute to the ongoing iron deficiency despite supplement intake. Patients are often advised against taking antacids and iron supplements simultaneously for this reason. Regular intake of antacids could significantly impair the patient's ability to improve their anemia with oral iron supplements. On the other hand, black stools (A) are a common side effect of iron supplements, and occasional constipation (B) can be managed with diet and hydration. Multivitamins (C) do not typically interact with iron absorption.