Chapter 54: Anemia Drugs

Chapter 54: Anemia Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. 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

 

 

ANS:  C

Intramuscular iron is given using the Z-track method deep into a large muscle mass. If given intravenously, it is given with normal saline, not 5% dextrose.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 869

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. A nurse is giving instructions to a patient who will be receiving oral iron supplements. 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.

 

 

ANS:  C

Although taking iron tablets with food may decrease absorption, doing so helps to reduce gastrointestinal distress. Antacids and milk may cause decreased iron absorption; iron tablets must be taken whole and not crushed. Black, tarry stools are expected adverse effects of oral iron supplements.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 868

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. The nurse will teach a patient who is receiving oral iron supplements to watch for which expected adverse effects?

a.	Palpitations
b.	Drowsiness and dizziness
c.	Black, tarry stools
d.	Orange-red discoloration of the urine

 

 

ANS:  C

Black, tarry stools and other gastrointestinal disturbances may occur with the administration of iron preparations. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 865

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. 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

 

 

ANS:  B

Absence of fatigue, increased activity tolerance and well-being, and improved nutrition status are therapeutic responses to iron supplementation. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 869

TOP:   NURSING PROCESS: Evaluation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation