FNP Mastery Hematology Exam Questions And Answers 100% Verified

FNP Mastery Hematology Exam Questions And Answers 100% Verified When treating a patient for iron deficiency anemia, she complains that the iron supplements have been causing constipation. What solutions might you suggest to help the patient increase her iron absorption as well as her tolerance for the supplement? Select all that apply. Consume adequate dietary fiber Consume more nuts and berries Take iron tablets with vitamin C Avoid taking antacids - answerIncreasing dietary intake of iron-rich foods alone is not generally recommeded to treat iron deficiency anemia. Advice about intake should center around either eating foods that enhance absorption and/or avoiding foods at the same time as the iron dose-especially foods or medicines that decrease absorption (antacids and calcium-dairy). In addition, taking iron along with vitamin C may increase absorption. Eating adequate fiber and staying hydrated serves to decrease constipation that may result from iron supplements. Incorrect option: Nuts are high in magnesium, not iron. Berries are not good sources of either. Foods high in iron include liver, red meat, and legumes. Common side effect of iron supplements? - answerConstipation How can you increase iron supplementation absorption without getting constipation - answerConsume adequate dietary fiber Taking with Vitamin C increases absorption of iron Antacids decrease iron absorption Which supplemental nutrient is important for your vegan patient to take? Folic acid Vitamin B12 Iron Amino acids - answerSince vegans do not eat animal-based foods that have natural B12, they are often low in vitamin B12 and may need to take supplements. Incorrect options: Iron, amino acids, and folic acid can be found in a plant-based diet. When the NP is educating a patient on the best way to take oral iron supplementation for maximum absorption, the NP should instruct the patient to take the medication as prescribed: immediately after a large meal on an empty stomach with an over-the-counter antacid with a glass of whole milk - answerMilk, antacids, calcium supplements, and caffeine may lower the amount of iron that is absorbed if taken at the same time. • Iron supplements work best if taken on an empty stomach but some patients may have upset stomach when taking iron so they may be advised to take the iron with a small amount of food. • A large meal or a large amount of food may lower the amount of iron that is absorbed. The NP is seeing a 3-day-old infant for the first clinic visit after birth. The infant is alert and vigorous with a normal physical exam with the notable exception of extensive petechiae to the face and trunk; there is no active bleeding. The infant's CBC is normal except for low platelet count of 6,000. There is no maternal history of ITP or lupus and maternal platelet count is within normal range. The infant was born at term with an uneventful delivery and hospital stay and was discharged home yesterday. What is the next best course of action for the NP? Contact a hematologist for urgent inpatient referral and follow their recommendations Prepare a referral for an outpatient hematology clinic Reassure the parents that the petechiae may be a rash and recheck at next visit Repeat the CBC in 24 hours - answerContact a hematologist for urgent inpatient referral and follow their recommendations These findings are concerning for neonatal alloimmune thrombocytopenia (NAIT) due to low platelets in an otherwise healthy infant and no maternal history of thrombocytopenia; this can result in severe bleeding and requires prompt treatment. • There are variations in neonatal thrombocytopenia causes and these should be managed by a hematologist. A patient has iron deficiency anemia. The serum iron level is expected to be low. Which other laboratory results are expected to also be low? Select all that apply.