A client is prescribed ferrous sulfate.
Before administering the drug, the nurse reviews the client's medical record.
The nurse would withhold the drug and contact the primary health care provider if the client's history revealed which of the following?
Hemolytic anemia.
Vitamin B12 deficiency anemia.
Anemia of chronic kidney disease.
Hypertension.
The Correct Answer is A
Choice A rationale:
Hemolytic anemia Hemolytic anemia is a contraindication for the use of ferrous sulfate, which is an iron supplement. Iron can exacerbate hemolysis in individuals with certain types of hemolytic anemia, leading to further breakdown of red blood cells. Therefore, the nurse should withhold the drug and consult with the primary healthcare provider to explore alternative treatments.
Choice B rationale:
Vitamin B12 deficiency anemia Vitamin B12 deficiency anemia is not a direct contraindication for ferrous sulfate. Ferrous sulfate is used to treat iron-deficiency anemia, and vitamin B12 deficiency anemia is a separate condition that requires different treatments. These two conditions are not typically interrelated in terms of treatment.
Choice C rationale:
Anemia of chronic kidney disease Anemia of chronic kidney disease is a condition where the kidneys are unable to produce enough erythropoietin, a hormone that stimulates red blood cell production. While ferrous sulfate may not be the first-line treatment for this type of anemia, it is not a strict contraindication. The decision to use iron supplements would depend on the individual patient's needs and the primary healthcare provider's recommendations.
Choice D rationale:
Hypertension Hypertension is not a contraindication for ferrous sulfate use. While patients with high blood pressure should be monitored closely, iron supplementation does not directly affect blood pressure regulation. The nurse should consider potential interactions with other medications the client may be taking, but hypertension alone is not a reason to withhold ferrous sulfate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Constipation Constipation is not a common adverse reaction to ciprofloxacin. While gastrointestinal side effects can occur with this medication, constipation is not typically associated with it. Ciprofloxacin is more likely to cause diarrhea or other gastrointestinal issues rather than constipation.
Choice B rationale:
Nausea Nausea is a common adverse reaction to ciprofloxacin. Ciprofloxacin can irritate the stomach lining, leading to feelings of nausea. It is important to educate the client about this potential side effect, as nausea can affect their compliance with the medication.
Choice C rationale:
Sedation Sedation is not a common adverse reaction to ciprofloxacin. This medication is not known for causing drowsiness or sedation. In fact, it is often prescribed to be taken twice a day, and sedation could interfere with the client's daily activities.
Choice D rationale:
Dry mouth Dry mouth is not a common adverse reaction to ciprofloxacin. While dry mouth can be a side effect of some medications, it is not typically associated with ciprofloxacin. Instead, ciprofloxacin is more likely to cause gastrointestinal symptoms and potential taste alterations.
Correct Answer is D
Explanation
Choice A rationale:
Hypertension is not a medical condition that contraindicates the use of ginger for digestive purposes. Ginger is often considered safe for individuals with hypertension when used in moderation.
Choice B rationale:
Kidney stones are not directly related to the use of ginger for digestion. Ginger is generally safe for consumption, and there is no known link between ginger and the formation of kidney stones.
Choice C rationale:
Vitamin B12 deficiency, while important, is not a condition that specifically contraindicates the use of ginger for digestion. However, individuals with vitamin B12 deficiency may need to address the underlying issue with appropriate treatment.
Choice D rationale:
Before advising the client to take ginger to aid with digestion, the nurse should ensure that the client does not have liver disease. Ginger can impact liver function, and individuals with liver disease may need to avoid or limit its use. This precaution is important to prevent any adverse effects on the liver in vulnerable individuals.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.