A client 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?

Neutrophils 57%

International Normalized Ratio 13 seconds

Total reticulocyte count 2.2 9% of total RBC count

Platelet count 250.000 uL

Answer and Explanation

The Correct Answer is C

A. Neutrophils 57%: This value reflects the percentage of neutrophils in the white blood cell count and does not specifically indicate the effectiveness of iron therapy. It is more related to the body’s immune response.

B. International Normalized Ratio (INR) 13 seconds: INR is a measure of blood coagulation and is not directly related to iron levels or the treatment of anemia. Therefore, this result does not indicate the success of ferrous sulfate therapy.

C. Total reticulocyte count 2.2% of total RBC count: An increased reticulocyte count indicates that the bone marrow is producing more red blood cells, which is a positive response to iron supplementation. A reticulocyte count around this percentage suggests an appropriate response to therapy for iron deficiency anemia.

D. Platelet count 250,000/µL: This is a normal platelet count and does not provide information specific to the effectiveness of iron therapy. It does not reflect the state of anemia or the response to iron supplementation.

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Correct Answer is B

Explanation

A. Decrease allergic reactions: Nitrate-free periods are not primarily designed to address allergic reactions.

B. Decrease tolerance to effects: Nitrates, including isosorbide mononitrate, can lead to the development of tolerance when used continuously. The nitrate-free period helps to minimize this tolerance, allowing the medication to remain effective over time.

C. Prevent reflex tachycardia: While nitrate use can sometimes cause reflex tachycardia, the nitrate-free interval is not specifically aimed at preventing this.

D. Increase absorption: The nitrate-free period does not influence the absorption of the medication itself.

A. I usually wait about two hours after I feel chest discomfort to seek medical attention." B. "I know that I should carry my medication with me in case develop chest pain." C. "My wife and I will learn to cook using the "good" cooking das D. "I feel a little anxious when I get chest discomfort."

Correct Answer is A

Explanation

A) "I usually wait about two hours after I feel chest discomfort to seek medical attention.": This statement is particularly concerning as it suggests a dangerous delay in seeking help during a potentially critical situation. Waiting to seek medical attention for chest discomfort can indicate a lack of understanding of the seriousness of the symptoms, which may hinder effective adaptation to the illness and could result in severe health risks.

B) "I know that I should carry my medication with me in case I develop chest pain.": This statement shows that the client is aware of the importance of having their medication accessible during a potential cardiac event. It indicates a level of preparedness and understanding of their condition, suggesting that the client is adapting well to managing their illness.

C) "My wife and I will learn to cook using the 'good' cooking methods.": This statement reflects a proactive approach to lifestyle modifications, indicating that the client is willing to make dietary changes to improve their health. Such positive steps are a sign of adapting effectively to coronary artery disease.
D) "I feel a little anxious when I get chest discomfort.": While anxiety is a natural response to experiencing chest discomfort, this statement alone does not indicate an inability to adapt. Acknowledging feelings of anxiety can be part of a healthy coping mechanism as the client learns to manage their condition.

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A client 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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