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Pharm Lilley Ch 54 Certification Exam Review Questions And Answers Verified Solution.

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1. A patient is to receive iron dextran injections. Which technique is appropriate when the nurse is administering this medication? a. Intravenous administration mixed with 5% dextrose b. Intramuscular injection in the upper arm c. Intramuscular injection using the Z-track method d. Subcutaneou...

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  • October 23, 2024
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RealGrades
Pharm Lilley Ch 54

1. A patient is to receive iron dextran injections. Which technique is appropriate when the nurse is
administering this medication?

a. Intravenous administration mixed with 5% dextrose

b. Intramuscular injection in the upper arm

c. Intramuscular injection using the Z-track method

d. Subcutaneous injection into the abdomen - correct answer c. Intramuscular
injection using the Z-track method



2. A nurse is giving instructions to a patient who will be receiving oral iron supplements. Which
instructions will be included in the teaching plan?

a. Take the iron tablets with milk or antacids.

b. Crush the pills as needed to help with swallowing.

c. Take the iron tablets with meals if gastrointestinal distress occurs.

d. If black tarry stools occur, report it to the doctor immediately. - correct answer c.
Take the iron tablets with meals if gastrointestinal distress occurs.



3. The nurse will teach a patient who is receiving oral iron supplements to watch for which expected
adverse effects?

a. Palpitations

b. Drowsiness and dizziness

c. Black, tarry stools

d. Orange-red discoloration of the urine - correct answer c. Black, tarry stools



4. A patient has been taking iron supplements for anemia for 2 months. During a follow-up assessment,
the nurse will observe for which therapeutic response?

a. Decreased weight

b. Increased activity tolerance

c. Decreased palpitations

, d. Increased appetite - correct answer b. Increased activity tolerance



5. An oral iron supplement is prescribed for a patient. The nurse would question this order if the
patient's medical history includes which condition?

a. Decreased hemoglobin

b. Hemolytic anemia

c. Weakness

d. Concurrent therapy with erythropoietics - correct answer b. Hemolytic anemia



7. The nurse is teaching a patient with iron-deficiency anemia about foods to increase iron intake. Which
food may enhance the absorption of oral iron forms?

a. Milk

b. Yogurt

c. Antacids

d. Orange juice - correct answer d. Orange juice



6. The nurse is reviewing the medical record of a patient before giving a new order for iron sucrose
(Venofer). Which statement regarding the administration of iron sucrose is correct?

a. The medication is given with food to reduce gastric distress.

b. Iron sucrose is contraindicated if the patient has renal disease.

c. A test dose will be administered before the full dose is given.

d. The nurse will monitor the patient for hypotension during the infusion. - correct answer
d. The nurse will monitor the patient for hypotension during the infusion.



8. The nurse is administering liquid oral iron supplements. Which intervention is appropriate when
administering this medication?

a. Have the patient take the liquid iron with milk.

b. Instruct the patient to take the medication through a plastic straw.

c. Have the patient sip the medication slowly.

d. Have the patient drink the medication, undiluted, from the unit-dose cup. - correct answer
b. Instruct the patient to take the medication through a plastic straw.

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