A patient with iron deficiency anemia who is taking oral iron supplements is evaluated by the nurse in the outpatient clinic. Which finding by the nurse is of MOST concern?

The patient takes a multivitamin tablet everyday

The patient takes an antacid with the iron to avoid nausea

The patient reports stools are black

The patient complains of occasional constipation

Answer and Explanation

The Correct Answer is B

A.   While taking a multivitamin can provide additional nutrients, it is generally not a cause for concern unless the multivitamin contains high doses of certain minerals that might interact negatively with iron absorption. However, this is less pressing compared to the interaction between antacids and iron.
B.   Antacids can significantly interfere with the absorption of oral iron supplements, leading to inadequate treatment of iron deficiency anemia. This is the most concerning finding because it may negate the effectiveness of the iron supplementation, making it harder for the patient to improve their iron levels.
C.   Black stools are a common and expected side effect of iron supplementation due to the presence of unabsorbed iron in the gastrointestinal tract. While the nurse should monitor for this, it is not inherently concerning as it indicates that the iron is being ingested.
D.   Constipation is a common side effect of iron supplements. Although it can be uncomfortable, it is not as critical as the potential interference caused by taking antacids. Management strategies can often alleviate this side effect.

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Correct Answer is A

Explanation

A. Hallux Valgus refers to a deformity where the big toe (hallux) angles towards the second toe, often accompanied by a bony bump (bunion) on the side of the foot. This condition can cause pain, discomfort, and difficulty in finding properly fitting footwear.
B. Ulnar deviation refers to the movement of the wrist where the hand deviates towards the ulnar bone (the side of the little finger). It is often associated with rheumatoid arthritis and not related to foot deformities.
C. Nodules on the fingers can occur in various conditions, including rheumatoid arthritis (called rheumatoid nodules). This term does not relate to Hallux Valgus or any deformity of the foot.
D. Bone spurs are bony projections that develop along the edges of bones, often related to osteoarthritis. While they can occur in the knees, they are not associated with Hallux Valgus.

A. 30 minutes B. 90 minutes C. 15 minutes D. 60 minutes

Correct Answer is C

Explanation

A. This is incorrect because the time limit is shorter than 30 minutes.
B. This is also incorrect. You need to start the transfusion sooner than this timeframe.
C. You should start the transfusion within 15 minutes after the blood product is issued from the blood bank. This guideline is critical to minimize the risk of bacterial growth and ensure the safety of the transfusion.
D. The time limit is shorter than 60 minutes, emphasizing the urgency in starting the transfusion to maintain the integrity of the blood product.

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A patient with iron deficiency anemia who is taking oral iron supplements is evaluated by the nurse in the outpatient clinic. Which finding by the nurse is of MOST concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are reading the Physician's notes on your patient when you notice that the Dr. wrote that the patient has a Hallux Valgus deformity. What is this describing?

Correct Answer is A

Explanation

You are planning to transfuse a unit of PRBC's to your patient. You know that when you arrive at the blood bank and they hand you the unit of blood, you have how long to start the transfusion from that time?

Correct Answer is C

Explanation

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A patient with iron deficiency anemia who is taking oral iron supplements is evaluated by the nurse in the outpatient clinic. Which finding by the nurse is of MOST concern?

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