A client says to the nurse, My sister's doctor told her to start ...

[mspears3]

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

[parker125]

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.

[mspears3]

Thank you!

[parker125]

Always glad to help...