ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 54 : Anemia Drugs Questions
Question 1 of 5
A patient will be taking oral iron supplements at home. The nurse will include which statements in the teaching plan for this patient? (Select all that apply.)
Correct Answer: A,E,G
Rationale: Iron tablets need to be taken with meals to reduce gastrointestinal distress, but antacids and milk interfere with absorption. Orange juice enhances the absorption of iron. Stools may become black and tarry in patients who are on iron supplements. Tablets need to be taken whole, not crushed, and the patient needs to be encouraged to eat foods high in iron.
Question 2 of 5
A 2-year-old child will be receiving ferrous sulfate oral drops (Fer-Iron) 5 mg/kg/day in three divided doses. The child weighs 30 pounds. Identify how many milligrams the nurse will administer per dose. (Record answer using one decimal place.)
Correct Answer: 22.7 mg
Rationale: Convert pounds to kilograms: 30 ?· 2.2 = 13.6 kg. Calculate the total dose per day: 5 mg/kg/day ?? 13.6 kg = 68 mg/day. Divide into 3 doses: 68 mg/day ?· 3 doses/day = 22.67, rounded to 22.7 mg/dose.
Question 3 of 5
A patient will be receiving epoetin alfa (Epogen) 8000 units IV three times a week. The medication is available in a vial that contains 10,000 units/mL. How many milliliters will the nurse draw up for this dose?
Correct Answer: 0.8 mL
Rationale: Calculate volume: 10,000 units:1 mL::8000 units:x mL. (10,000 ?? x) = (1 ?? 8000); 10,000x = 8000; x = 0.8 mL.
Question 4 of 5
A patient is to receive iron dextran injections. Which technique is appropriate when the nurse is administering this medication?
Correct Answer: C
Rationale: 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.
Question 5 of 5
A nurse is giving instructions to a patient who will be receiving oral iron supplements. Which instructions will be included in the teaching plan?
Correct Answer: C
Rationale: 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.