Author Question: The nurse is preparing a dose of parenteral iron (iron dextran) for a client with severe resistant ... (Read 106 times)

justinmsk · **on:** Jul 23, 2018

The nurse is preparing a dose of parenteral iron (iron dextran) for a client with severe resistant anemia. The nurse is aware of the major adverse reaction that can accompany intravenous ferric gluconate.

Which assessment parameters will the nurse attend to most closely?
1. Respiratory status and blood pressure
2. Balance and mobility
3. Level of consciousness and spontaneous movement
4. Temperature and muscle tone

Question 2

The nurse completes an assessment of a client who is prescribed filgrastim after a bone marrow transplant. The nurse would attend most closely to which parameters on the complete blood count?

1. Platelet count and reticulocyte count
2. Band count and reticulocyte count
3. Hemoglobin and hematocrit
4. Total white cell count and neutrophil count

carolinefletcherr · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Anaphylaxis is a possibility after the administration of intravenous iron dextran. Blood pressure, pulse, and respirations should be tracked.
Rationale 2: Iron dextran does not affect balance and mobility.
Rationale 3: Iron dextran does not affect level of consciousness and movement.
Rationale 4: Iron dextran does not affect temperature or muscle tone.
Global Rationale: Anaphylaxis is a possibility after the administration of intravenous iron dextran. Blood pressure, pulse, and respirations should be tracked. Iron dextran does not affect balance, mobility, level of consciousness, movement, temperature, or muscle tone.

Answer to Question 2

Correct Answer: 4
Rationale 1: The platelet and reticulocyte counts do not increase.
Rationale 2: The reticulocyte count does not increase.
Rationale 3: Hemoglobin and hematocrit do not increase.
Rationale 4: Filgrastim mimics endogenous CSF and promotes an increase in the total WBC and in the percentage of neutrophils.
Global Rationale: Filgrastim mimics endogenous CSF and promotes an increase in the total WBC and in the percentage of neutrophils. The platelet, reticulocyte count, hemoglobin, and hematocrit do not increase.