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 C

Explanation

A. Bone marrow aspiration study: While this test can provide information about the bone marrow's ability to produce red blood cells, it is not typically the first diagnostic test used to detect the cause of chronic iron deficiency anemia.

B. Vitamin B2 level: This test measures riboflavin levels, which are not related to iron deficiency anemia. Vitamin B12 or folate levels are more relevant in differentiating types of anemia.

C. Stool for occult blood: This test is commonly used to detect hidden blood in the stool, which can indicate gastrointestinal bleeding—a frequent cause of chronic iron deficiency anemia. Identifying blood loss in the GI tract is crucial for diagnosing the underlying issue.

D. Schelling's test: This test is used to determine the absorption of vitamin B12 and is not
applicable to iron deficiency anemia.

A. Baked chicken, baked beans, french fries, and cake B. Grilled steak, fresh green beans, mashed potatoes, and ice cream C. Tomato soup, fried flounder, white rice and an apple D. Baked salmon, fresh broccoli, brown rice and fresh fruit

Correct Answer is D

Explanation

A) Baked chicken, baked beans, french fries, and cake: While baked chicken and baked beans may have some nutritional benefits, the inclusion of french fries and cake adds unhealthy fats and sugars, which are not recommended for a client with hypertension. High sodium levels in processed foods can also be problematic.

B) Grilled steak, fresh green beans, mashed potatoes, and ice cream: Grilled steak can be high in saturated fat, and mashed potatoes may be loaded with butter or cream. Ice cream adds excessive sugar and fat, which are not ideal for managing hypertension.

C) Tomato soup, fried flounder, white rice, and an apple: Fried flounder is high in unhealthy fats, and white rice can be high in carbohydrates without the fiber found in whole grains. While the apple is a healthy choice, the overall menu does not support hypertension management effectively.

D) Baked salmon, fresh broccoli, brown rice, and fresh fruit: This option is the most appropriate for a client with hypertension. Baked salmon is rich in omega-3 fatty acids, fresh broccoli provides fiber and vitamins, brown rice offers whole grains, and fresh fruit adds essential nutrients without excessive sugars. This combination supports heart health and helps manage blood pressure effectively.

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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

The nurse recognizes that which diagnostic test is used to detect the most common cause of chronic iron deficiency anemia?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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