Nokea
Ferrous sulfate is prescribed for a client. She returns to the clinic in two weeks. Which assessment by the nurse indicates that she has NOT been taking iron as ordered?
- A. The client's cheeks are flushed.
- B. The client reports having more energy.
- C. The client complains of nausea.
- D. The client's stools are light brown.
Correct Answer: D
Rationale: Iron turns stool black. Light brown stools indicate the client has not been taking iron as prescribed. Flushed cheeks, increased energy, and nausea can be associated with iron therapy compliance.
You may also like to solve these questions
The client asks the nurse, 'They say I have cancer. How can they tell if I have Hodgkin's disease from a biopsy?' The nurse’s answer is based on which scientific rationale?
- A. Biopsies are nuclear medicine scans that can detect cancer.
- B. A biopsy is a laboratory test that detects cancer cells.
- C. It determines which kind of cancer the client has.
- D. The HCP takes a small piece out of the tumor and looks at the cells.
Correct Answer: C
Rationale: A biopsy identifies Hodgkin’s via Reed-Sternberg cells (C). It’s not a scan (A), not just a lab test (B), and involves microscopic cell analysis (D is partial but less precise).
The charge nurse is making assignments on a medical floor. Which client should be assigned to the most experienced nurse?
- A. The client diagnosed with iron-deficiency anemia who is prescribed iron supplements.
- B. The client diagnosed with pernicious anemia who is receiving vitamin B12 intramuscularly.
- C. The client diagnosed with aplastic anemia who has developed pancytopenia.
- D. The client diagnosed with renal disease who has a deficiency of erythropoietin.
Correct Answer: C
Rationale: Aplastic anemia with pancytopenia (C) is complex, risking bleeding/infection, requiring experienced care. Iron (A), B12 (B), and renal anemia (D) are more stable.
The nurse is caring for the client placed on neutropenic precautions. Which interventions should the nurse implement?
- A. Apply pressure for at least 5 minutes to any site that is bleeding.
- B. Prevent anyone from bringing fresh flowers into the client’s room.
- C. Teach the client to avoid eating unwashed fruit and vegetables.
- D. Perform hand hygiene before touching any of the client’s belongings.
- E. Inform the client that fresh water will be delivered every hour.
- F. Stop visitors from entering the room if observed to be coughing.
Correct Answer: B, C, D, F, A.
Rationale: Pressure should be applied to an area that is bleeding when the client has thrombocytopenia, not neutropenia. B. Fresh flowers harbor microorganisms that can cause an infection. C. Unwashed fruits and vegetables have been found to be colonized with various bacteria, particularly gram-negative enteric organisms, as well as pseudomonas and fungi. Recent research indicates that well-washed fresh fruits and vegetables may be eaten. D. Hand hygiene reduces microbial counts on hands and helps to prevent the transmission of microorganisms to the client’s belongings. E. The client should not consume any liquids that have been standing at room temperature for longer than an hour due to risk of microbial colonization. F. Visitors with a transmittable infection place the client at a high risk for becoming infected due to the client’s depressed immune system.
Which is the primary goal of care for a client diagnosed with sickle cell anemia?
- A. The client will call the HCP if feeling ill.
- B. The client will be compliant with medical regimen.
- C. The client will live as normal a life as possible.
- D. The client will verbalize understanding of treatments.
Correct Answer: C
Rationale: The primary goal for SCA is to live normally (C), managing crises. Calling HCP (A), compliance (B), and understanding (D) are secondary.
The nurse is caring for a child who has hemophilia. He is admitted with a bleeding episode. Which of the following should the nurse expect will be given to stop the bleeding?
- A. Heparin
- B. Cryoprecipitate
- C. Packed cells
- D. Whole blood
Correct Answer: B
Rationale: Cryoprecipitate contains clotting factors, such as factor VIII, essential for stopping bleeding in hemophilia.