A patient with thalassemia major who is receiving a blood transfusion shows signs of hemochromatosis.
The nurse anticipates a prescription for which medication?

Methotrexate.

Deferoxamine.

Ferrous gluconate.

Iron dextran complex.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Methotrexate is a medication used for cancer and autoimmune diseases. It does not chelate iron and is not used to treat iron overload conditions like hemochromatosis.

Choice B rationale:

Deferoxamine is an iron chelating agent used to treat iron overload conditions like hemochromatosis. It binds to excess iron and promotes its excretion from the body, preventing complications such as organ damage.

Choice C rationale:

Ferrous gluconate is an iron supplement used to treat iron deficiency anemia. It would not be appropriate for a patient with hemochromatosis, a condition characterized by iron overload.

Choice D rationale:

Iron dextran complex is another form of intravenous iron used to treat iron deficiency anemia. It is not indicated for treating iron overload conditions like hemochromatosis.

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Correct Answer is C

Explanation

The correct answer is choice c. “I will take my iron supplement along with meals.”

Choice A rationale:

Taking iron supplements with a straw is recommended to prevent staining of the teeth, which is a common side effect of liquid iron supplements.

Choice B rationale:

Taking iron supplements at bedtime can be beneficial for some patients, especially if they experience gastrointestinal discomfort when taking iron during the day.

Choice C rationale:

Taking iron supplements with meals can decrease the absorption of iron. Iron is best absorbed on an empty stomach, although it can be taken with food if gastrointestinal upset occurs.

Choice D rationale:

Taking iron supplements with orange juice is recommended because vitamin C enhances the absorption of iron.

A. Occurs with both activity and rest. B. Generally lasts 10-15 minutes or more. C. Does not subside when the precipitating factor is resolved. D. Occurs intermittently over a period of time in a similar pattern.

Correct Answer is A

Explanation

Choice A rationale:

Chronic stable angina typically occurs with both activity and rest due to the increased oxygen demand of the heart during exertion. It is relieved with rest or nitroglycerin, which helps to decrease the heart's workload. This choice accurately represents the characteristic of chronic stable angina.

Choice B rationale:

Chronic stable angina usually lasts for a short duration, usually around 5 minutes, and is relieved with rest or nitroglycerin. Prolonged pain lasting 10-15 minutes or more could indicate an unstable angina or myocardial infarction. This choice is incorrect for chronic stable angina.

Choice C rationale:

Pain due to chronic stable angina subsides when the precipitating factor, such as physical exertion, is resolved or with medication like nitroglycerin. Therefore, this statement is incorrect for chronic stable angina.

Choice D rationale:

Chronic stable angina follows a predictable pattern, occurring intermittently over a period of time, and is usually triggered by physical exertion or emotional stress. This option does not accurately represent the typical pattern of chronic stable angina.

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A patient with thalassemia major who is receiving a blood transfusion shows signs of hemochromatosis.The nurse anticipates a prescription for which medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient about the administration of liquid iron supplements. Which response by the patient indicates the need for additional teaching?

Correct Answer is C

Explanation

Which information would the nurse include when discussing pain due to chronic stable angina with the patient?

Correct Answer is A

Explanation

A patient's arterial blood gas (ABG) values include a pH of 7.48, a PaCO2 of 38, and an HCO3- of 30. Around which acid-base imbalance would the nurse plan the patient's care?

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A patient's blood pressure (BP) reading is 142/91 mm Hg. How would the nurse classify the BP?

Which laboratory report finding would support the nurse's conclusion that a patient has thalassemia major? Select all that apply.One, some, or all responses may be correct.

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With which term will the nurse document the finding after noting multiple 1-mm red macules when assessing the skin of a patient with leukemia and thrombocytopenia?

A patient with thalassemia major who is receiving a blood transfusion shows signs of hemochromatosis.
The nurse anticipates a prescription for which medication?