The nurse is caring for the client who has iron deficiency anemia. Exhibits Which of the following instructions should the nurse include? Select all that apply.

Rationale for Correct Choices: Increase sources of fiber in the diet: Iron supplements, particularly ferrous sulfate, commonly cause constipation. Increasing dietary fiber through fruits, vegetables, and whole grains helps promote bowel regularity and prevent this common side effect. Take the medication on an empty stomach: Iron is best absorbed in an acidic environment, and taking it on an empty stomach enhances its bioavailability. However, if gastrointestinal upset occurs, it may be taken with a small amount of food, but not with calcium-rich foods. Take the medication with a source of vitamin C: Vitamin C (ascorbic acid) enhances the absorption of non-heme iron. Consuming iron with a vitamin C-rich beverage or food, like orange juice, increases iron uptake and supports effective treatment of iron deficiency anemia. Rationale for Incorrect Choices: Take an antacid within 30 min after medication administration: Antacids reduce stomach acidity, which impairs iron absorption. Iron requires an acidic environment to be absorbed effectively, so antacids should be avoided within 1–2 hours of iron administration. Increase intake of milk and dairy products: Calcium in dairy products can bind to iron and inhibit its absorption. Iron should not be taken with milk or calcium-rich foods to ensure optimal effectiveness of the supplement.