Nokea
When reinforcing instructions for the patient taking an oral liquid iron preparation, which should the nurse include?
- A. Information relative to taking the iron with milk
- B. Information relative to the bowel movement color changing to dark red
- C. Information relative to taking preparation through a straw to prevent staining of teeth
- D. Information relative to taking a drug with meals or a snack
Correct Answer: C
Rationale: Liquid iron preparations should be drunk through a straw to prevent tooth staining. All oral iron preparations should be taken before meals. Dairy products interfere with the absorption of iron.
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The nurse is aware that some persons of the Jehovah's Witness faith accept which types of blood transfusions?
- A. No type of blood transfusion
- B. Blood that has been blessed by their religious leader
- C. Transfusions only for persons who have not yet been baptized
- D. Autologous blood transfusions
Correct Answer: D
Rationale: Some Jehovah's Witness followers are accepting of autologous blood transfusions and some will accept volume expanders such as colloids.
Which event causes the kidney to produce erythropoietin?
- A. Decreased erythrocytes
- B. Decreased oxygen levels
- C. Extensive systemic infection
- D. Excessive circulating clotting factor
Correct Answer: B
Rationale: When oxygen levels are low, the kidney produces a hormone known as erythropoietin.
The home health nurse recommends to the mother of a 12-year-old child with leukemia that the child should have which vaccine?
- A. the series for prevention of hepatitis B.
- B. an annual influenza vaccine.
- C. an annual pneumococcal vaccine.
- D. vitamin B12 shots.
Correct Answer: B
Rationale: Children with leukemia should have an annual influenza vaccine and a pneumococcal vaccine every 5 years.
are leukocytes that destroy and remove cellular waste, bacteria, and solid particles.
Correct Answer: Neutrophils
Rationale: Neutrophils (granular circulating leukocytes essential for phagocytosis, the process by which bacteria, cellular debris, and solid particles are destroyed and removed) ingest bacteria and dispose of dead tissue.
The spleen is a highly vascularized organ located in the left upper quadrant of the abdominal cavity. Which is the main function of the spleen?
- A. Serve as reservoir for blood.
- B. Destroy worn-out RBCs.
- C. Promote phagocytosis.
- D. Responsible for development of T lymphocytes.
- E. Continuously produce RBCs during lifetime.
Correct Answer: A,B,C
Rationale: The spleen stores 500 mL of blood, which can be released during emergencies, such as hemorrhage. The main functions of the spleen are (1) to serve as a reservoir for blood; (2) to destroy old or imperfect RBCs; and (3) to remove bacteria by phagocytosis (engulfing and digesting).