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Question 1

1. A patient is to receive iron dextran injections. Which technique is appropriate when the nurse is administering this medication?

Answer 1

Intramuscular injection using the Z-track method

Question 2

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?

Answer 2

Take the iron tablets with meals if gastrointestinal distress occurs.

Question 3

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

Answer 3

Black, tarry stools

Question 4

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?

Answer 4

Increased activity tolerance

Question 5

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?

Answer 5

Hemolytic anemia

Question 6

6. The nurse is reviewing the medical record of a patient before giving a new order for iron sucrose (Venofer). Which statement regarding the administration of iron sucrose is correct?

Answer 6

The nurse will monitor the patient for hypotension during the infusion.

Question 7

7. The nurse is teaching a patient with iron-deficiency anemia about foods to increase iron intake. Which food may enhance the absorption of oral iron forms?

Answer 7

Orange juice

Question 8

8. The nurse is administering liquid oral iron supplements. Which intervention is appropriate when administering this medication?

Answer 8

Instruct the patient to take the medication through a plastic straw.

Question 9

9. A woman who is planning to become pregnant should ensure that she receives adequate levels of which supplement to reduce the risk for fetal neural tube defects?

Answer 9

Folic acid

Question 10

10. The nurse is administering folic acid to a patient with a new diagnosis of anemia. Which statement about treatment with folic acid is true?

Answer 10

The specific cause of the anemia needs to be determined before treatment.

Question 11

11. During therapy with the hematopoietic drug epoetin alfa (Epogen), the nurse instructs the patient about adverse effects that may occur, such as:

Answer 11

hypertension.

Question 12

12. The nurse is administering intravenous iron dextran for the first time to a patient with anemia. After giving a test dose, how long will the nurse wait before administering the remaining portion of the dose?

Answer 12

1 hour

Question 13

13. A patient with end-stage renal failure has been admitted to the hospital for severe anemia. She is refusing blood transfusions. The nurse anticipates drug therapy with which drug to stimulate the production of red blood cells?

Answer 13

Epoetin alfa (Epogen)

Question 14

14. A cancer patient is receiving drug therapy with epoetin alfa (Epogen). The nurse knows that the medication must be stopped if which laboratory result is noted?

Answer 14

Hemoglobin level of 12 g/dL

Question 15

15. A patient has been receiving epoetin alfa (Epogen) for severe iron-deficiency anemia. Today, the provider changed the order to darbepoetin (Aranesp). The patient questions the nurse, “What is the difference in these drugs?” Which response by the nurse is correct?

Answer 15

“Aranesp is a longer-acting form, so you will receive fewer injections.”

Question 16

1. 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.)

Answer 16

Take the iron tablets with meals.

Taking iron supplements with orange juice enhances iron absorption.

Stools may become black and tarry.