To which of the following patients would the nurse expect to ...

[K@]

To which of the following patients would the nurse expect to administer iron dextran?
 
  a. A patient with intestinal disease who is unable to absorb iron taken orally
  b. A patient with a history of asthma
  c. A patient who does not like the taste of iron
  d. A patient with a history of hypertension

Question 2

A patient with a history of long-term vitamin B12 deficiency is admitted to the unit. What clinical manifestations would the nurse anticipate with this disease process? (Select all that apply.)
 
  a. GI disturbances
  b. Impaired production of WBCs
  c. Impaired production of platelets
  d. Neurologic damage
  e. Hyponatremia
  f. Hypokalemia

[jessicaduplan]

Answer to Question 1

ANS: A
Iron dextran is reserved for patients with a clear diagnosis of iron deficiency for whom oral iron is either ineffective or intolerable, such as those with intestinal disease, who could not absorb the iron.
Patients with asthma can take oral iron.
A dislike of the taste of iron is not a justification for IV iron administration, because the iron taste can be easily disguised.
Oral iron therapy is not contraindicated for a patient with a history of hypertension.

Answer to Question 2

ANS: A, B, C, D
The most significant consequences of vitamin B12 deficiency are anemia and injury to the nervous system. Additional effects include GI disturbances and impaired production of white blood cells and platelets.
Hyponatremia and hypokalemia are not manifestations of vitamin B12 deficiency.

[K@]

TYSM

[ghepp]

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