ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 54 Questions
Question 1 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 2 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.
Question 3 of 5
The nurse will teach a patient who is receiving oral iron supplements to watch for which expected adverse effects?
Correct Answer: C
Rationale: Black, tarry stools and other gastrointestinal disturbances may occur with the administration of iron preparations.
Question 4 of 5
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?
Correct Answer: B
Rationale: Absence of fatigue, increased activity tolerance and well-being, and improved nutrition status are therapeutic responses to iron supplementation.
Question 5 of 5
An oral iron supplement is prescribed for a patient. The nurse would question this order if the patient's medical history includes which condition?
Correct Answer: B
Rationale: Iron supplements are contraindicated in anemias that are not caused by iron-deficiency, such as hemolytic anemia. Decreased hemoglobin and weakness are related to iron-deficiency anemia. Iron supplements are given with erythropoietic drugs to aid in the production of red blood cells.