A patient has recently started ferrous sulfate 500 mg by mouth two times per day for anemia. Which of the following data would indicate to the nurse that the therapy is successful?
International normalized ratio 1.3 seconds
Hemoglobin 14 g/dL
Serum iron 150 mcg/dL
Platelet count 250,000/mm3
The Correct Answer is B
Choice A reason: The international normalized ratio (INR) is a measure of the blood's ability to clot. It is not affected by ferrous sulfate therapy, which is used to treat iron deficiency anemia. The normal range of INR is 0.8 to 1.2 seconds.
Choice B reason: Hemoglobin is the protein in red blood cells that carries oxygen. It is the main indicator of anemia and the response to iron therapy. The normal range of hemoglobin for adults is 12 to 18 g/dL. A hemoglobin level of 14 g/dL suggests that the patient's anemia has improved with ferrous sulfate therapy.
Choice C reason: Serum iron is the amount of iron in the blood. It is not a reliable indicator of anemia or iron therapy, as it can fluctuate with dietary intake, infection, inflammation, and other factors. The normal range of serum iron for adults is 50 to 170 mcg/dL.
Choice D reason: Platelet count is the number of platelets in the blood. Platelets are involved in blood clotting and wound healing. They are not affected by ferrous sulfate therapy, which is used to treat iron deficiency anemia. The normal range of platelet count for adults is 150,000 to 450,000/mm3.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Having analgesic properties without sedation is not the rationale for prescribing aspirin and clopidogrel for coronary artery disease. Aspirin and clopidogrel are antiplatelet drugs that prevent blood clots from forming in the arteries that supply the heart. They do not have significant analgesic or sedative effects.
Choice B reason: Triggering vasodilation and improving blood flow is not the rationale for prescribing aspirin and clopidogrel for coronary artery disease. Aspirin and clopidogrel do not directly cause vasodilation or increase blood flow. They work by reducing the stickiness of platelets and preventing them from clumping together and blocking the arteries.
Choice C reason: Improving contractility and decreasing afterload is not the rationale for prescribing aspirin and clopidogrel for coronary artery disease. Aspirin and clopidogrel do not affect the contractility or the afterload of the heart. They act on the blood vessels and the blood cells, not on the heart muscle. Contractility and afterload are influenced by other drugs such as beta-blockers, calcium channel blockers, and angiotensin-converting enzyme inhibitors.
Choice D reason: This is the correct answer. Inhibiting platelet aggregation and clot formation is the rationale for prescribing aspirin and clopidogrel for coronary artery disease. Aspirin and clopidogrel are antiplatelet drugs that interfere with the function of platelets, which are blood cells that help with clotting. By inhibiting platelet aggregation and clot formation, aspirin and clopidogrel reduce the risk of heart attack and stroke in people with coronary artery disease.
Correct Answer is D
Explanation
Choice A reason: Cucumbers are not a good source of iron for the client with iron-deficiency anemia. Iron-deficiency anemia is a condition where the body does not have enough iron to produce hemoglobin, the protein that carries oxygen in the red blood cells. Cucumbers are mostly water and have very little iron content. The client should eat foods that are rich in iron, such as meat, poultry, fish, eggs, beans, and leafy green vegetables.
Choice B reason: Bran is not a good source of iron for the client with iron-deficiency anemia. Bran is the outer layer of cereal grains that contains fiber and some minerals, but not much iron. Bran can also interfere with the absorption of iron from other foods by binding to it and preventing it from entering the bloodstream. The client should avoid eating bran or other foods that contain phytates, oxalates, or tannins, which can reduce the bioavailability of iron.
Choice C reason: Celery is not a good source of iron for the client with iron-deficiency anemia. Celery is a low-calorie vegetable that has some vitamins and minerals, but very little iron. Celery also has a high water content and can fill up the stomach without providing much nutrition. The client should eat foods that are high in iron, such as meat, poultry, fish, eggs, beans, and leafy green vegetables.
Choice D reason: This is the correct answer. Spinach is a good source of iron for the client with iron-deficiency anemia. Spinach is a leafy green vegetable that has a high iron content and can help increase the hemoglobin level and the oxygen-carrying capacity of the blood. Spinach also has other nutrients, such as vitamin C, folate, and antioxidants, that can benefit the health of the client. The client should eat spinach and other foods that are high in iron, such as meat, poultry, fish, eggs, beans, and leafy green vegetables.
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