Chapter 48, Immunostimulants and Immunomodulators TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

1. A nurse is preparing to administer ferrous to a client. Which adverse reaction should the nurse point out to the client to report if noted? A) Headache B) Allergic reaction C) Soreness D) Backache Answer: B Rationale: The nurse needs to closely monitor the client for an allergic reaction and report to the health care provider if symptoms are noted. Headache and backache are the generalized system reactions to iron supplements. Soreness is a generalized system reaction to the administration of iron when given through the parenteral route. Question format: Multiple Choice Chapter: 48 Learning Objective: 5 Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potential Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 660, Summary Drug Table 2. A nurse is conducting the preadministration assessment on a client who is prescribed ferrous and notes the client is also currently prescribed ascorbic acid. Which potential reaction of these two drugs should the nurse prioritize for monitoring? A) An increase in seizure activity B) Signs of vitamin B12 deficiency C) Increased absorption of iron D) Signs of folate deficiency Answer: C Rationale: The nurse should monitor for an increased absorption of iron in the client due to the interaction of ascorbic acid with the iron preparation, ferrous. An increase in seizure activity may occur when folic acid is administered with the hydantoins. Signs of folate deficiency may occur when sulfasalazine is administered concurrently. Vitamin B12 deficiency is a rare deficiency caused by a low dietary intake. Question format: Multiple Choice Chapter: 48 Learning Objective: 5 Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potential