Question 1

A patient will be taking oral iron supplements.Which of the following statements should the nurse include in the teaching plan for this patient? Select all that apply.&#10;A)Take the iron tablets with an antacid.&#10;B)Take the iron on an empty stomach 1 hour before meals.&#10;C)Take the iron with meals.&#10;D)Drink 250 mL of milk with each iron dose.&#10;E)Taking iron supplements with orange juice enhances iron absorption.&#10;F)Stools may become loose and light in color.&#10;G)Stools may become black and tarry.&#10;H)Tablets may be crushed to enhance iron absorption.

Accepted Answer

Iron tablets should be taken with meals to reduce gastrointestinal distress,but antacids and milk interfere with absorption.Stools may become black and tarry in patients who are on iron supplements.Tablets should be taken whole,not crushed,and the patient should be encouraged to eat foods high in iron.There is no evidence that taking iron supplement with orange juice enhances absorption.

Question 2

A patient is to receive iron dextran (Dexiron)injections.What technique should the nurse use to administer this medication?&#10;A)Intravenous (IV)mixed with 5% dextrose&#10;B)Intramuscular (IM)injection in the upper arm&#10;C)IM injection using the Z-track method&#10;D)Subcutaneous injection with a half-inch,29-gauge needle

Accepted Answer

IM iron should be given using the Z-track method deep into a large muscle mass.

Question 3

Which of the following may occur as a result of therapy with iron preparations?&#10;A)Palpitations&#10;B)Dizziness and syncope&#10;C)Black and red tarry stools&#10;D)Yellow discoloration of the urine

Accepted Answer

Black and red tarry stools and other gastrointestinal disturbances may occur as a result of iron preparations.

Question 4

A patient is taking a liquid form of an iron product.What important information should the nurse tell the patient about taking this iron product?&#10;A)Follow the dose with milk.&#10;B)Take the medication through a plastic straw.&#10;C)Mix the dose with juice and sip slowly.&#10;D)Drink the medication undiluted from a measured medicine cup.

Accepted Answer

Liquid oral forms of iron should be taken through a plastic straw to avoid discoloration of tooth enamel.
Milk may decrease absorption.Because liquid iron can stain the teeth,the patient should not sip or drink it directly.

Question 5

A patient has been taking iron supplements for anemia for 4 weeks.Which of the following are therapeutic responses to watch for?&#10;A)Decreased weight&#10;B)Absence of fatigue&#10;C)Decreased palpitations&#10;D)Decreased visual disturbances

Accepted Answer

Absence of fatigue,increased activity tolerance and well-being,and increased nutritional status are therapeutic responses to iron supplementation.

Question 6

A woman is planning to become pregnant in the next year.To reduce the risk for fetal neural tube defects,she should ensure that she receives adequate levels of which of the following?&#10;A)Vitamin B&#8321;&#8322;&#10;B)Vitamin C&#10;C)Iron&#10;D)Folic acid

Accepted Answer

To reduce the risk for fetal neural tube defects,the administration of folic acid is recommended to begin at least 1 month before pregnancy and to continue through early pregnancy.

Question 7

A patient is prescribed oral iron supplementation.What important information should the nurse tell the patient about this treatment?&#10;A)Take the iron tablets with milk or antacids.&#10;B)Crush the pills as needed to help swallowing.&#10;C)Avoid reclining positions for 15 to 30 minutes after taking the drug.&#10;D)While on iron supplement,it is not necessary to eat foods high in iron such as meat;dark green,leafy vegetables;and dried beans.

Accepted Answer

Patients should avoid reclining positions for 15 to 30 minutes after taking the drug to avoid esophageal irritation or corrosion.
Antacids and milk may cause decreased iron absorption;iron tablets should be taken whole and not crushed;and clients should continue to eat foods high in iron.

Question 8

Before the administration of iron supplements,the nurse should assess for which of the following contraindications?&#10;A)Poor nutrition&#10;B)Hemolytic anemia&#10;C)Weakness and fatigue&#10;D)Decreased hemoglobin

Accepted Answer

Hemolytic anemia is a contraindication to the use of iron supplements.
Poor nutrition,weakness and fatigue,and decreased hemoglobin are related to iron-deficient anemia.

Question 9

When ferrous fumarate (Palafer CF)is given to infants,what should also be administered to prevent the possible occurrence of hemolytic anemia?&#10;A)Zinc&#10;B)Potassium&#10;C)Vitamin E&#10;D)Vitamin B&#8321;&#8322;

Accepted Answer

If ferrous fumarate is given to infants,vitamin E should also be administered.

Question 10

The nurse is teaching a patient about the oral administration of iron preparations.Which of the following will increase the absorption of iron?&#10;A)Milk&#10;B)Yogourt&#10;C)Antacids&#10;D)Ascorbic acid

Accepted Answer

Ascorbic acid enhances the absorption of oral iron.
Antacids,milk,and yogourt may interfere with absorption.

Question 11

The nurse is administering medications to a patient with a new diagnosis of anemia.Which of the following is a true statement about treatment with folic acid?&#10;A)Folic acid is used to treat any type of anemia.&#10;B)The cause of the anemia should be determined before treatment with folic acid.&#10;C)Folic acid is used to treat pernicious anemia.&#10;D)Folic acid is used to treat iron-deficient anemia.

Accepted Answer

The answer of The nurse is administering medications to a...

Deck 56: Blood-Forming Drugs