Anemia Questions Flashcards
In administering oral iron tablets, the nurse should keep in mind that the most appropriate substance (other than water) to give with these tablets is which of these?
a. Pudding
b. An antacid
c. Milk
d. Orange juice
d. Orange juice
The nurse is teaching a patient about oral iron supplements. Which statement is correct?
a. “You need to take this medication on an empty stomach or else it won’t be absorbed.”
b. “It is better absorbed on an empty stomach, but if that causes your stomach to be upset, you can take it with food.”
c. “Take this medication with a sip of water, and then lie down to avoid problems with low blood pressure.”
d. “If you have trouble swallowing the tablet, you may crush it.”
b. “It is better absorbed on an empty stomach, but if that causes your stomach to be upset, you can take it with food.”
The nurse is administering an intravenous dose of iron dextran. For which potential adverse effect is it most important for the nurse to monitor at this time?
a. Anaphylaxis
b. Gastrointestinal distress
c. Black tarry stools
d. Bradycardia
a. Anaphylaxis
The nurse is assessing a patient who is to receive folic acid supplements. It is important to rule out which condition before giving the folic acid?
a. Malabsorption syndromes
b. Pernicious anemia
c. Tropical sprue
d. Pregnancy
b. Pernicious anemia
A woman who is planning to become pregnant asks the nurse when she should start to take folic acid supplements. What is the nurse’s best response?
a. “There is no evidence to support the use of folic acid during pregnancy.”
b. “You should start taking it at least 1 month before you become pregnant and continue it throughout early pregnancy.”
c. “You need to start it as soon as you discover you are pregnant.”
d. “You should take it only during the last trimester of your pregnancy and not any earlier.”
b. “You should start taking it at least 1 month before you become pregnant and continue it throughout early pregnancy.”
A patient is to receive iron dextran injections. Which technique is appropriate when the nurse is administering this medication?
a. Intravenous administration mixed with 5% dextrose
b. Intramuscular injection in the upper arm
c. Intramuscular injection using the Z-track method
d. Subcutaneous injection into the abdomen
c. Intramuscular injection using the Z-track method
A nurse is giving instructions to a patient who will be receiving oral iron supplements (ferrous sulfate). Which instructions will be included in the teaching plan?
a. Take the iron tablets with milk or antacids.
b. Crush the pills as needed to help with swallowing.
c. Take the iron tablets with meals if gastrointestinal distress occurs.
d. If black tarry stools occur, report it to the doctor immediately.
c. Take the iron tablets with meals if gastrointestinal distress occurs.
The nurse will teach a patient who is receiving ferrous sulfate to watch for which expected adverse effects?
a. Palpitations
b. Drowsiness and dizziness
c. Black, tarry stools
d. Orange-red discoloration of the urine
c. Black, tarry stools
A patient has been taking iron supplements for anemia for 2 months. During a follow-up assessment, the nurse will observe for which therapeutic response?
a. Decreased weight
b. Increased activity tolerance
c. Decreased palpitations
d. Increased appetite
b. Increased activity tolerance
Ferrous sulfate is prescribed for a patient. The nurse would question this order if the patient‘s medical history includes which condition?
a. Decreased hemoglobin
b. Pernicious anemia
c. Weakness
d. Concurrent therapy with erythropoietics
b. Hemolytic anemia
The nurse is reviewing the medical record of a patient before giving a new order for iron dextran. Which statement regarding the administration of iron dextran is correct?
a. The medication is given with food to reduce gastric distress.
b. Iron sucrose is contraindicated if the patient has renal disease.
c. A test dose will be administered before the full dose is given.
d. The nurse will monitor the patient for hypotension during the infusion.
d. The nurse will monitor the patient for hypotension during the infusion.
The nurse is teaching a patient with iron-deficiency anemia about foods to increase iron intake. Which food may enhance the absorption of oral iron forms?
a. Milk
b. Yogurt
c. Antacids
d. Orange juice
d. Orange juice
The nurse is administering liquid oral iron supplements. Which intervention is appropriate when administering this medication?
a. Have the patient take the liquid iron with milk.
b. Instruct the patient to take the medication through a plastic straw.
c. Have the patient sip the medication slowly.
d. Have the patient drink the medication, undiluted, from the unit-dose cup.
b. Instruct the patient to take the medication through a plastic straw.
A woman who is planning to become pregnant should ensure that she receives adequate levels of which supplement to reduce the risk for fetal neural tube defects?
a. Vitamin B12
b. Vitamin D
c. Iron
d. Folic acid
d. Folic acid
The nurse is administering folic acid to a patient with a new diagnosis of anemia. Which statement about treatment with folic acid is true?
a. Folic acid is used to treat any type of anemia.
b. Folic acid is used to treat iron-deficiency anemia.
c. Folic acid is used to treat pernicious anemia.
d. The specific cause of the anemia needs to be determined before treatment.
d. The specific cause of the anemia needs to be determined before treatment.
