The patient reports taking folic acid and vitamin B12. The RN alerts the provider
because she is concerned that Folic Acid may mask the signs of Vitamin B12
insufficiency.
The patient underwent hip replacement surgery and received iron replacement
therapy for two days. The patient's feces are black and pallid, and he or she feels
weary. The patient's heart rate is 98, RR is 20, and blood pressure is 100/50. The
RN will contact the provider to: - Answer the Request and H&H.
A 12-year-old female was admitted to the hospital before sinus surgery. The RN
preparing to care for this patient observes that the admission hemoglobin is 10.2
gm/dL, and the hematocrit is 32%. What inquiry will the RN ask the child's parents
about their daughter? - ANSWER "Has she begun menstruating?"
A patient with renal failure is having chronic hemodialysis. The patient's
hemoglobin is 10.6 g/dL. The MD orders Sodium-Ferric Gluconate Complex
(SFGC [Ferrlecit]). What do registered nurses anticipate to do? To boost RBC
production, administer the medication IV with erythropoietin.
The patient informs the RN that she is contemplating about becoming pregnant and
inquires about nutritional supplements. What will the registered nurse recommend?
- ANSWER: 400-800 mg of folate every day.
A patient who recently relocated to the United States from an underdeveloped
nation appears underweight. The patient's folic acid levels are low, while his
vitamin B12 levels are normal. RN expects this patient's treatment to include: -
ANSWER A Folic Acid-Rich Diet.
, The patient's initial test results indicate Megaloblastic Anemia. The patient
complains of tingling in his hands and appears puzzled. What does the RN suspect
in this patient? - ANSWER Vitamin B12 deficiency.
The nurse is analyzing a patient's most recent blood count and notices that the
patient has a hemoglobin of 9.6 and a hematocrit of 33%. The RN will notify the
provider and expect the initial therapy to include: - ANSWER Determining the
cause of the anemia.
What are the indications for administering Parenteral Iron Preparation? -
ANSWER: Blood loss of 750 mL per week.
- Celiac disease with anemia.
- Intestinal disease impairs absorption.
Patient was given a 30-day supply of Feosol and has been taking it for four weeks
for Iron Deficiency Anemia. The patient's initial hemoglobin was 8.9. The RN
notices that the hemoglobin level has increased to 9.7. What does the RN ask the
patient about? - ANSWER Whether the prescription should be refilled
Which of the following patients is most likely to have folic acid deficiency? -
ANSWER Alcoholism.
The patient is receiving oral iron to treat iron deficiency anemia. Which ABX
medicine, when taken with iron, would most concern the RN? - ANSWER
Tetracycline
A patient with vitamin B12 deficiency is admitted with symptoms of hypoxia,
anemia, hand and foot numbness, and oral stomatitis. Which of the following
therapies does the registered nurse expect the doctor to order? - ANSWER IM
Cyanocobalamin with Folic Acid
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