Chapter 54: Drugs for Deficiency Anemias

Chapter 54: Drugs for Deficiency Anemias

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. The nurse is providing patient education about iron replacement therapy. Which statement made by the patient best indicates an accurate understanding of this therapy?

a.	“I will probably start having stomach upset after taking iron for a few months.”
b.	“If I notice black stools, I will need to notify my doctor immediately.”
c.	“I need to space the doses of iron evenly throughout the day.”
d.	“Taking iron with antacids will reduce gastric symptoms and improve absorption.”

 

 

ANS:   C

Doses should be spaced evenly throughout the day, because this provides the bone marrow with a continuous supply of iron, which maximizes RBC production.

GI upset typically would occur immediately if iron is taken on an empty stomach; taking iron with food can reduce stomach upset.

Black stools are expected with iron therapy.

Antacids have a drug-drug interaction with iron and reduce its absorption.

 

DIF:    Cognitive Level: Application             REF:    p. 637

TOP:    Nursing Process: Evaluation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential

 

2. A 23-year-old woman without any known significant medical history comes to the clinic with complaints of fatigue, pallor, and listlessness. After obtaining a health history, the nurse practitioner should initially order which of the following laboratory tests?

a.	Pregnancy test
b.	Urinalysis
c.	Stool for guaiac
d.	Platelet count

 

 

ANS:   A

The initial pregnancy test is inexpensive and quick, and should be completed to rule out a pregnancy before other expensive diagnostic tests are ordered.

The question asks for the first laboratory test that should be ordered for this patient and the urinalysis is not an initial test that needs to be done given this patient’s condition.

A stool test for guaiac is not indicated unless the patient complains of blood in the stool or has a history or suspicion of colorectal cancer.

A platelet count is indicated for bleeding deficiencies, which have not been confirmed in this patient.

 

DIF:    Cognitive Level: Application             REF:    pp. 635-636

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

 

3. A 17-year-old young woman is brought to the hospital by her mother, who is concerned about her daughter’s fatigue. Upon assessment, the patient displays listlessness, pallor, and fatigue. The patient is diagnosed with iron deficiency anemia. While providing discharge instructions, the patient’s mother asks the nurse how her daughter acquired this problem. The nurse correctly explains that the most likely cause of her daughter’s iron deficiency is

a.	pregnancy.
b.	juvenile status (age).
c.	celiac disease.
d.	heavy menstruation.

 

 

ANS:   D

The most common cause of iron deficiency in adolescent females is heavy menstrual cycles.

No evidence indicates that this patient is pregnant.

Being a juvenile does not automatically put a patient at risk for iron deficiency.

No evidence indicates that celiac disease is a factor in this situation.

 

DIF:    Cognitive Level: Application             REF:    p. 635

TOP:    Nursing Process: Planning

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential