MSN 571 PHARM LATEST 2023- 2024 FINAL
EXAM WITH FEEDBACK (100%) CORRECT
ANSWERS Graded A+
Which instructions should the nurse include in the plan of care for a patient receiving ferrous sulfate
therapy?
A. Iron does not absorb
B. Iron should only be taken at night
C. Iron compounds are not taken orally
D. Antacids should not be taken with iron - ANSWER-D
Antacids can decrease the absorption of iron. Iron is typically taken in the morning. It is absorbed readily
and is taken orally
A patient cannot take oral cyancobalamin. Which is an appropriate intervention?
A. Administer an antidote
B. Administer an antihistamine
C. Prepare the patient for surgery
D. Administer intranasal cyanocobalamin - ANSWER-D
IN administration is an alternative to oral, IM or even subQ injection for people who canot take
cyanocobalamin by mouth. There is no need for surgery, an antihistamine, or an antidote.
A patient has folic acid deficiency. What is the nurse's priority action?
A. Assess diet
B. Assess medications
C. Assess alcohol intake
D. Administer folic acid daily - ANSWER-D
Folic acid should be administered daily for this patient. The nursing priority is administration of the
medications. Causes of folic acid deficiency may be related to medications, diet or alcohol intake, but
the nurse is only responsible for treatment, not for determining cause.
, MSN 571 PHARM LATEST 2023- 2024 FINAL
EXAM WITH FEEDBACK (100%) CORRECT
ANSWERS Graded A+
Which is the priority nursing intervention for a patient receiving a parenteral iron dextran infusion?
A. The medication must be administered by deep subcutaneous injection
B. An intravenous test dose of 25 mg over 5 minutes must be administered
C. Erythropoietin must also be given when a patient is receiving parenteral iron dextran
D. After administration of a test dose of intramuscular (IM) iron dextran, the patient must be observed
for 15 minutes before the full therapeutic dose is given - ANSWER-D
To reduce the risk of a fatal anaphylactic reaction to parenteral iron dextran, each full dose should be
preceded by a small test does of 25 mg given IV over 5 minutes. Iron dextran should not be administered
subQ. It can be administered by deep IM injection using the Z-track technique to prevent leakage and
surface discoloration. Sodiumferric gluconate complex, not iron dextran, is always used in conjunction
with erythropoietin. If the test dose of iron dextran is administered IM, the patient must be observed for
1 hr before the full dose is administered
The nurse is monitoring a patient receiving ferrous sulfate for treatment of iron deficiency anemia.
Which finding indicates that the therapy is effective?
A. Black stools
B. Decrease in energy
C. Absence of emesis
D. Increased hemoglobin - ANSWER-D
A patient who has increased hemoglobin would be evaluated as having a positive response to ferrous
sulfate therapy. Increase in energy would also be therapeutic. Black stools are a side effect of therapy.
Emesis is not a measure of therapeutic effect
The nurse is caring for a patient with anemia. Which of the following is a common cause of iron
deficiency in patients in the United States?
A. Vegetarian eating patterns
B. Rapid growth during adolescence
C. Decreased intestinal uptake of iron
D. Chronic blood loss through the gastrointestinal tract - ANSWER-D
, MSN 571 PHARM LATEST 2023- 2024 FINAL
EXAM WITH FEEDBACK (100%) CORRECT
ANSWERS Graded A+
The most common causes of anemia in patients the US are changes in blood volume during pregnancy,
infancy and early childhood, and chronic blood loss (usually of GI or uterine origin) In rare cases,
decreased iron uptake is a cause of anemia, Vegetarian eating patterns can lead to vit B deficiency.
Intestinal uptake is not a common cause of iron deficiency and iron does not contribute to growth
during adolescence.
Which nursing intervention is essential for a patient receiving intranasal cyanocobalamin?
A. Monitor liver enzymes
B. Administer in the evening
C. Administer prescribed vitamin K if bruising is observed
D. Have the patient avoid hot foods within an hour after administration - ANSWER-D
Hot foods should not be eaten within 1 hour before or after administration as they can increase nasal
secretions, which can flush the medication out of the nose. Cyanocobalamin does not have to be
administered in the evening It does not affect liver enzymes. The medication does not cause bleeding
The nurse is administering iron dextran by intravenous infusion to a patient with iron deficiency. Which
is the priority nursing action during the administration of this drug?
A. Assess the lung sounds and respiratory rate
B. Ensure that epinephrine is available as needed
C. Monitor the blood urea nitrogen and creatinine levels
D. Use Y-connector tubing to connect to the primary line - ANSWER-D
An anaphylactic reaction is the most serious potential adverse reaction to iron dextran administration.
Epinephrine and resuscitation equipment should be readily available. The nurse may also assess lung
sounds and respiratory rate; however this is not the priority action, Renal function is not monitored
routinely during these infusions. The med is administered directly through a primary intravenous tubing
A large number of megaloblasts are seen in the patient's laboratory results. What should the nurse
teach the patient?
EXAM WITH FEEDBACK (100%) CORRECT
ANSWERS Graded A+
Which instructions should the nurse include in the plan of care for a patient receiving ferrous sulfate
therapy?
A. Iron does not absorb
B. Iron should only be taken at night
C. Iron compounds are not taken orally
D. Antacids should not be taken with iron - ANSWER-D
Antacids can decrease the absorption of iron. Iron is typically taken in the morning. It is absorbed readily
and is taken orally
A patient cannot take oral cyancobalamin. Which is an appropriate intervention?
A. Administer an antidote
B. Administer an antihistamine
C. Prepare the patient for surgery
D. Administer intranasal cyanocobalamin - ANSWER-D
IN administration is an alternative to oral, IM or even subQ injection for people who canot take
cyanocobalamin by mouth. There is no need for surgery, an antihistamine, or an antidote.
A patient has folic acid deficiency. What is the nurse's priority action?
A. Assess diet
B. Assess medications
C. Assess alcohol intake
D. Administer folic acid daily - ANSWER-D
Folic acid should be administered daily for this patient. The nursing priority is administration of the
medications. Causes of folic acid deficiency may be related to medications, diet or alcohol intake, but
the nurse is only responsible for treatment, not for determining cause.
, MSN 571 PHARM LATEST 2023- 2024 FINAL
EXAM WITH FEEDBACK (100%) CORRECT
ANSWERS Graded A+
Which is the priority nursing intervention for a patient receiving a parenteral iron dextran infusion?
A. The medication must be administered by deep subcutaneous injection
B. An intravenous test dose of 25 mg over 5 minutes must be administered
C. Erythropoietin must also be given when a patient is receiving parenteral iron dextran
D. After administration of a test dose of intramuscular (IM) iron dextran, the patient must be observed
for 15 minutes before the full therapeutic dose is given - ANSWER-D
To reduce the risk of a fatal anaphylactic reaction to parenteral iron dextran, each full dose should be
preceded by a small test does of 25 mg given IV over 5 minutes. Iron dextran should not be administered
subQ. It can be administered by deep IM injection using the Z-track technique to prevent leakage and
surface discoloration. Sodiumferric gluconate complex, not iron dextran, is always used in conjunction
with erythropoietin. If the test dose of iron dextran is administered IM, the patient must be observed for
1 hr before the full dose is administered
The nurse is monitoring a patient receiving ferrous sulfate for treatment of iron deficiency anemia.
Which finding indicates that the therapy is effective?
A. Black stools
B. Decrease in energy
C. Absence of emesis
D. Increased hemoglobin - ANSWER-D
A patient who has increased hemoglobin would be evaluated as having a positive response to ferrous
sulfate therapy. Increase in energy would also be therapeutic. Black stools are a side effect of therapy.
Emesis is not a measure of therapeutic effect
The nurse is caring for a patient with anemia. Which of the following is a common cause of iron
deficiency in patients in the United States?
A. Vegetarian eating patterns
B. Rapid growth during adolescence
C. Decreased intestinal uptake of iron
D. Chronic blood loss through the gastrointestinal tract - ANSWER-D
, MSN 571 PHARM LATEST 2023- 2024 FINAL
EXAM WITH FEEDBACK (100%) CORRECT
ANSWERS Graded A+
The most common causes of anemia in patients the US are changes in blood volume during pregnancy,
infancy and early childhood, and chronic blood loss (usually of GI or uterine origin) In rare cases,
decreased iron uptake is a cause of anemia, Vegetarian eating patterns can lead to vit B deficiency.
Intestinal uptake is not a common cause of iron deficiency and iron does not contribute to growth
during adolescence.
Which nursing intervention is essential for a patient receiving intranasal cyanocobalamin?
A. Monitor liver enzymes
B. Administer in the evening
C. Administer prescribed vitamin K if bruising is observed
D. Have the patient avoid hot foods within an hour after administration - ANSWER-D
Hot foods should not be eaten within 1 hour before or after administration as they can increase nasal
secretions, which can flush the medication out of the nose. Cyanocobalamin does not have to be
administered in the evening It does not affect liver enzymes. The medication does not cause bleeding
The nurse is administering iron dextran by intravenous infusion to a patient with iron deficiency. Which
is the priority nursing action during the administration of this drug?
A. Assess the lung sounds and respiratory rate
B. Ensure that epinephrine is available as needed
C. Monitor the blood urea nitrogen and creatinine levels
D. Use Y-connector tubing to connect to the primary line - ANSWER-D
An anaphylactic reaction is the most serious potential adverse reaction to iron dextran administration.
Epinephrine and resuscitation equipment should be readily available. The nurse may also assess lung
sounds and respiratory rate; however this is not the priority action, Renal function is not monitored
routinely during these infusions. The med is administered directly through a primary intravenous tubing
A large number of megaloblasts are seen in the patient's laboratory results. What should the nurse
teach the patient?
