CHAPTER 55

Question 1

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

Answer 1

C

Question 2

2. 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 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.

Answer 2

C

Question 3

3. What may occur as a result of therapy with iron preparations?
   a. Palpitations
   b. Dizziness and syncope
   c. Black and red tarry stools
   d. Yellow discoloration of the urine

Answer 3

C

Question 4

4. 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

Answer 4

B

Question 5

5. Before administering iron supplements, the nurse should assess for which contraindication?
   a. Poor nutrition
   b. Hemolytic anemia
   c. Weakness and fatigue
   d. Decreased hemoglobin

Answer 5

B

Question 6

6. When ferrous fumarate (Palafer®) is given to infants, what is the onset of action time period?
   a. 10 to 12 hours
   b. 24 to 48 hours
   c. 3 to 10 days
   d. 14 to 21 days

Answer 6

C

Question 7

7. The nurse is teaching a patient about the oral administration of iron preparations. What will increase the absorption of iron?
   a. Milk
   b. Yogourt
   c. Antacids
   d. Ascorbic acid

Answer 7

D

Question 8

8. 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.

Answer 8

B

Question 9

9. 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

Answer 9

D

Question 10

10. 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.

Answer 10

B