Author Question: A client will be on long-term oral iron therapy. When discussing this therapy, the nurse mentions ... (Read 33 times)

eruditmonkey@yahoo.com · **on:** Jul 23, 2018

A client will be on long-term oral iron therapy. When discussing this therapy, the nurse mentions that a slow-release, enterically coated preparation may be advisable for the client. Which rationales would the nurse have for this suggestion?

Standard Text: Select all that apply.
1. The client has children at home.
2. This form is less expensive.
3. The enteric coating may reduce gastrointestinal upset.
4. This form reduces problems with constipation.
5. This preparation can be taken with coffee or milk.

Question 2

A client has been diagnosed with cancer. The nurse plans an assessment based on the awareness that cancer can spread through which component of the lymphatic system?

1. Lymph vessels
2. Tonsils
3. Thymus gland
4. Spleen

Silverbeard98 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,3
Rationale 1: Slow-release preparations are less dangerous if a child should take the medications and overdose.
Rationale 2: The slow-release form is more expensive.
Rationale 3: The enteric coating may help with GI upset.
Rationale 4: All iron preparations can cause constipation.
Rationale 5: No oral iron preparation should be taken with milk or caffeine-bearing beverages.
Global Rationale: Slow-release preparations are less dangerous if a child should take the medications and overdose. The enteric coating may help with GI upset. The slow-release form is more expensive. All iron preparations can cause constipation. No oral iron preparation should be taken with milk or caffeine-bearing beverages

Answer to Question 2

Correct Answer: 1
Rationale 1: Lymph vessels drain interstitial fluid, and cancer cells can travel from one area to another via this fluid.
Rationale 2: The tonsils sequester pathogens.
Rationale 3: The thymus gland is the site of T cell maturation.
Rationale 4: The spleen filters blood and can prevent the spread of cancer cells.
Global Rationale: Lymphatic vessels carry more than escaped fluid. Viruses, bacteria, cellular debris, and even cancer cells can enter these vessels. Should these pathogens or cancer cells be permitted to return to the blood stream, an infection (or cancer) could quickly spread throughout the body with potentially disastrous consequences. The tonsils sequester pathogens. The thymus gland is the site of T cell maturation. The spleen filters blood and can prevent the spread of cancer cells.