Question 1

A patient is prescribed oral iron supplementation.What should the nurse tell the patient to do while on this treatment?

Accepted Answer

A) Take the iron tablets with milk or antacids. 
B) Crush the pills 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. 
A) Take the iron tablets with milk or antacids. 
B) Crush the pills 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

Question 2

The nurse is teaching a patient about the oral administration of iron preparations.What will increase the absorption of iron?

Accepted Answer

A) Milk 
B) Yogourt 
C) Antacids 
D) Ascorbic acid 
A) Milk 
B) Yogourt 
C) Antacids 
D) Ascorbic acid D

Question 3

A patient will be taking oral iron supplements.Which statements should the nurse include when teaching this patient? (Select all that apply.)

Accepted Answer

A) Take the iron tablets with an antacid. 
B) Take the iron on an empty stomach 1 hour before meals. 
C) Take the iron with meals. 
D) Drink 250 mL of milk with each iron dose. 
E) Taking iron supplements with orange juice enhances iron absorption.
F)Stools may become loose and light-coloured.
G)Stools may become black and tarry.
H)Iron tablets may be crushed to enhance iron absorption. 
A) Take the iron tablets with an antacid. 
B) Take the iron on an empty stomach 1 hour before meals. 
C) Take the iron with meals. 
D) Drink 250 mL of milk with each iron dose. 
E) Taking iron supplements with orange juice enhances iron absorption.
F)Stools may become loose and light-coloured.
G)Stools may become black and tarry.
H)Iron tablets may be crushed to enhance iron absorption. C,E,G

Question 4

A patient is taking a liquid form of an iron product.What should the nurse tell the patient to do when taking this product?

Accepted Answer

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. 
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.

Question 5

What may occur as a result of therapy with iron preparations?

Accepted Answer

A) Palpitations 
B) Dizziness and syncope 
C) Black and red tarry stools 
D) Yellow discoloration of the urine 
A) Palpitations 
B) Dizziness and syncope 
C) Black and red tarry stools 
D) Yellow discoloration of the urine

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 what?

Accepted Answer

A) Vitamin B12 
B) Vitamin C 
C) Iron 
D) Folic acid 
A) Vitamin B12 
B) Vitamin C 
C) Iron 
D) Folic acid

Question 7

A patient has been taking iron supplements for anemia for 4 weeks.Which therapeutic response should the patient be taught to watch for?

Accepted Answer

A) Decreased weight 
B) Absence of fatigue 
C) Decreased palpitations 
D) Decreased visual disturbances 
A) Decreased weight 
B) Absence of fatigue 
C) Decreased palpitations 
D) Decreased visual disturbances

Question 8

When ferrous fumarate (Palafer)is given to infants,what is the onset of action time period?

Accepted Answer

A) 10 to 12 hours 
B) 24 to 48 hours 
C) 3 to 10 days 
D) 14 to 21 days 
A) 10 to 12 hours 
B) 24 to 48 hours 
C) 3 to 10 days 
D) 14 to 21 days

Question 9

The nurse is administering medications to a patient with a new diagnosis of anemia.Which is a true statement about treatment with folic acid?

Accepted Answer

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. 
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.

Question 10

Before administering iron supplements,the nurse should assess for which contraindication?

Accepted Answer

A) Poor nutrition 
B) Hemolytic anemia 
C) Weakness and fatigue 
D) Decreased hemoglobin 
A) Poor nutrition 
B) Hemolytic anemia 
C) Weakness and fatigue 
D) Decreased hemoglobin

Question 11

A patient is to receive iron dextran (Dexiron)injections.What should the nurse use to administer this medication?

Accepted Answer

A) Intravenous (IV) injection mixed with 5% dextrose 
B) Intramuscular (IM) injection in the upper arm 
C) IM injection using the Z-track method 
D) Subcutaneous injection with a half-inch, 29-gauge needle 
A) Intravenous (IV) injection mixed with 5% dextrose 
B) Intramuscular (IM) injection in the upper arm 
C) IM injection using the Z-track method 
D) Subcutaneous injection with a half-inch, 29-gauge needle

Exam 55: Anemia Drugs

A patient is prescribed oral iron supplementation.What should the nurse tell the patient to do while on this treatment?

The nurse is teaching a patient about the oral administration of iron preparations.What will increase the absorption of iron?

A patient will be taking oral iron supplements.Which statements should the nurse include when teaching this patient? (Select all that apply.)

A patient is taking a liquid form of an iron product.What should the nurse tell the patient to do when taking this product?

What may occur as a result of therapy with iron preparations?

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 patient has been taking iron supplements for anemia for 4 weeks.Which therapeutic response should the patient be taught to watch for?

When ferrous fumarate (Palafer)is given to infants,what is the onset of action time period?

The nurse is administering medications to a patient with a new diagnosis of anemia.Which is a true statement about treatment with folic acid?

Before administering iron supplements,the nurse should assess for which contraindication?

A patient is to receive iron dextran (Dexiron)injections.What should the nurse use to administer this medication?

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