Sherpath_Deficiency Anemia Drug Therapy_Week 3

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Questions and Answers

In which time period would a nurse expect to see the peak effect of ferrous sulfate?

  • 5 to 7 days
  • 2 to 4 weeks (correct)
  • 2 to 3 months
  • 6 to 9 months

Which conditions are the most common causes of increased iron demand that can lead to iron deficiency? Select all that apply.

  • Pregnancy (correct)
  • Liver impairment
  • Chronic uterine blood loss (correct)
  • Expansion of blood volume during childhood (correct)

Which reasons describe the importance of balancing food intake with iron administration? Select all that apply.

  • The metabolism of iron may be reduced with food.
  • Food reduces iron’s absorption by 50% to 70%. (correct)
  • The protein binding of iron is reduced when taken with food.
  • Iron may cause gastrointestinal upset when taken on an empty stomach. (correct)

Which laboratory values would a nurse assess before administering ferrous sulfate to a patient with iron deficiency anemia? Select all that apply.

<p>Folate level (A), Bilirubin level (B), Hemoglobin level (C), Reticulocyte count (D)</p> Signup and view all the answers

Which patients would a nurse determine should not receive therapy with ferrous sulfate? Select all that apply.

<p>A patient with hemolytic anemia (C), A patient with hemochromatosis (D)</p> Signup and view all the answers

Which teaching points would a nurse share with a patient who has been newly prescribed ferrous sulfate? Select all that apply.

<p>Take the ferrous sulfate with 4 to 6 oz of water. (A), Take the medication on an empty stomach if possible. (B), Wait 2 hours before or after taking ferrous sulfate before taking an antacid. (D)</p> Signup and view all the answers

Which signs or symptoms would a nurse recognize in a patient with iron deficiency anemia, potentially requiring treatment with ferrous sulfate? Select all that apply.

<p>Pallor (A), Fatigue (B), Listlessness (D)</p> Signup and view all the answers

Which statement regarding the pharmacokinetic parameters of ferrous sulfate is accurate?

<p>Ferrous sulfate is excreted in urine, sweat, and intestinal mucosa sloughing. (D)</p> Signup and view all the answers

Which statement regarding the pharmacodynamic parameters of ferrous sulfate is accurate?

<p>Ferrous sulfate replaces iron found in hemoglobin, allowing the transport of oxygen. (D)</p> Signup and view all the answers

Which teaching points should be shared with a patient who is receiving liquid oral iron therapy for iron deficiency anemia?

<p>The iron supplement may turn the stool black. (A), The iron supplement should be stored out of reach from children. (B), The solution can be administered through a straw to avoid staining of teeth. (C), It is important that the patient maintains routine appointments to have the anemia monitored. (D)</p> Signup and view all the answers

Which teaching point about vitamin C would a nurse provide a patient receiving ferrous sulfate?

<p>Vitamin C enhances the absorption of ferrous sulfate. (B)</p> Signup and view all the answers

Which statement about iron dosage is inaccurate?

<p>A 324 mg oral tablet of ferrous sulfate contains 45 mg of elemental iron. (B)</p> Signup and view all the answers

Flashcards

Peak effect of ferrous sulfate

2 to 4 weeks.

Common cause of increased iron demand

Pregnancy

Importance of balancing food with iron

Food reduces iron’s absorption by 50% to 70%.

Labs to assess before ferrous sulfate

Folate level

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Patients who should not receive ferrous sulfate

A patient with hemolytic anemia

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Instructions for taking ferrous sulfate

Take the ferrous sulfate with 4 to 6 oz of water.

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Symptoms of iron deficiency anemia

Pallor

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How ferrous sulfate leaves the body

Ferrous sulfate is excreted in urine, sweat, and intestinal mucosa sloughing.

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Pharmacodynamic action of ferrous sulfate

Ferrous sulfate replaces iron found in hemoglobin, allowing the transport of oxygen.

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Important education point about taking liquid oral iron

The iron supplement may turn the stool black.

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Vitamin C and ferrous sulfate

Vitamin C enhances the absorption of ferrous sulfate.

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Inaccurate statement about iron dosage.

A 324 mg oral tablet of ferrous sulfate contains 45 mg of elemental iron.

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