This topic contains a solution. Click here to go to the answer

Author Question: A client says to the nurse, My sister's doctor told her to start taking ferrous sulfate tablets. Do ... (Read 49 times)

mspears3

  • Hero Member
  • *****
  • Posts: 586
A client says to the nurse, My sister's doctor told her to start taking ferrous sulfate tablets. Do you think that would help me feel better? Which client history would be of concern to the nurse?
 
  Standard Text: Select all that apply.
  1. An episode of shingles last winter
  2. Ulcerative colitis controlled by diet
  3. Peptic ulcer disease
  4. Frequent falls
  5. Daily use of a proton pump inhibitor

Question 2

A client is admitted with pernicious anemia. The nurse understands that therapy will include medication to address the client's lack of intrinsic factor. Which drug would the nurse anticipate administering?
 
  1. Intravenous iron
  2. An oral iron salt
  3. Epoetin alfa subcutaneously
  4. Cyanocobalamin subcutaneously



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

parker125

  • Sr. Member
  • ****
  • Posts: 332
Answer to Question 1

Correct Answer: 2,3,5
Rationale 1: There is no contraindication for use of ferrous sulfate in clients who have had shingles.
Rationale 2: Ferrous sulfate may cause diarrhea if administered to clients with ulcerative colitis.
Rationale 3: Ferrous sulfate may irritate the stomach mucosa and increase bleeding in clients with peptic ulcer disease.
Rationale 4: There is no contraindication for giving ferrous sulfate to a client who experiences frequent falls.
Rationale 5: Proton pump inhibitors reduce absorption of oral iron salts.
Global Rationale: Ferrous sulfate may cause diarrhea if administered to clients with ulcerative colitis. Ferrous sulfate may irritate the stomach mucosa and increase bleeding in clients with peptic ulcer disease. Proton pump inhibitors reduce absorption of oral iron salts. There is no contraindication for use of ferrous sulfate in clients who have had shingles or who experience frequent falls.

Answer to Question 2

Correct Answer: 4
Rationale 1: IV iron will not correct pernicious anemia.
Rationale 2: Oral iron will not correct pernicious anemia.
Rationale 3: Epoetin alfa will not correct pernicious anemia.
Rationale 4: Cyanocobalamin will supply the intrinsic factor necessary to treat pernicious anemia.
Global Rationale: Cyanocobalamin will supply the intrinsic factor necessary to treat pernicious anemia. IV iron, oral iron, and epoetin alfa will not correct pernicious anemia.





 

Did you know?

Asthma-like symptoms were first recorded about 3,500 years ago in Egypt. The first manuscript specifically written about asthma was in the year 1190, describing a condition characterized by sudden breathlessness. The treatments listed in this manuscript include chicken soup, herbs, and sexual abstinence.

Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

Did you know?

Adult head lice are gray, about ? inch long, and often have a tiny dot on their backs. A female can lay between 50 and 150 eggs within the several weeks that she is alive. They feed on human blood.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

Throughout history, plants containing cardiac steroids have been used as heart drugs and as poisons (e.g., in arrows used in combat), emetics, and diuretics.

For a complete list of videos, visit our video library