Lilly Pharm Ch 55 Anemia Drugs Flashcards
A patient is to receive dextran (Dexiron) injections. What should the nurse use to administer this medication?
a. IV injection mixed with 5% dextrose
b. IM injection in the upper arm
c. IM injection using the Z-track method
d. Subcutaneous injection with a half-inch, 29g needle.
c. IM injection using the Z-track method.
A patient is prescribed oral iron supplementation. What should the nurse tell the patient to do while on this treatment.
a. Take the iron tablets with milk or antacids.
b. crush the pulls as needed to help swallowing.
c. Avoid reclining positions for up to 30 minutes after taking the drug.
d. You do not need to eat foods that are high in iron, such as meat, dark green leafy vegetables, and dried beans.
c. Avoid reclining positions for up to 30 minutes after taking the drug.
In order to prevent esophageal irritation or corrosion, patients on an iron supplement should avoid reclining positions for 15-30 minutes after taking the drug. 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.
What my occur as a result of therapy with iron preparations?
a. palpitations
b. dizziness and syncope
c. black and red tarry stools
d. yellow discolouration of the urine
c. black and red tarry stools
A patient has been taking iron supplements for anemia for 4 weeks. Which therapeutic response should the patient be taught to watch for?
a. decreased weight
b. absence of fatigue
c. decreased palpitations
d. decreased visual disturbances
b. absence of fatigue
Before administering iron supplements, the nurse should assess for which contraindications?
a. poor nutrition
b. hemolytic anemia
c. weakness and fatigue
d. decreased hemoglobin
b. hemolytic anemia
When ferrous fumarate (Palafer) is given to infants, what is the onset of action time period?
a. 10-12 hours
b. 24 - 48 hours
c. 3 to 10 days
d. 14 to 21 days
c. 3-10 days
The nurse is teaching a patient about he oral administration of iron preparations. What will increase the absorption of iron?
a. milk
b. yogurt
c. antacids
d. ascorbic acid
d. ascorbic acid
enhances the absorption of oral iron. antacids, milk, and yogurt may interfere.
A patient is taking a liquid form of an iron product. What should the nurse tell the patient to do when taking this product?
a. follow the dose with milk.
b. take the medication through a plastic straw.
c. mix the dose with juice and sip slowly.
d. drink the medication undiluted from a measured medicine cup.
b. take the medication through a plastic straw.
Helps to decrease discolouration of tooth enamel.
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 what?
a. Vitamin B12
b. Vitamin C
c. Iron
d. Folic acid
d. folic acid
The nurse is administering medications to a patient with a new diagnosis of anemia. Which is a true statement about treatment with folic acid?
a. Folic acid is used to treat any type of anemia
b. The cause of the anemia should be determined before treatment with folic acid.
c. Folic acid is used to treat pernicious anemia
d. Folic acid is used to treat iron deficiency anemia.
b. The cause of the anemia should be determined before treatment with folic acid.
It shouldn’t be given without finding the underlying cause because administering folic acid to a patient with pernicious anemia will correct the hematological changes of anemia, but the symptoms of pernicious anemia (which is instead caused by a b12 deficiency) may be deceptively masked.
