Med Surg CH.31, Nursing Management: Hematologic Problems- Anemia and other Red Blood Disorders TEST WITH VERIFIED ANSWERS

Med Surg CH.31, Nursing Management: Hematologic Problems- Anemia and other Red Blood Disorders TEST WITH VERIFIED ANSWERS An older patient relates that he or she has increased fatigue and a headache. The nurse identifies pale skin and glossitis on assessment. In response to these findings, which teaching will be helpful to the patient if he or she has microcytic, hypochromic anemia? 1. Take enteric-coated iron with each meal. 2. Take cobalamin with green leafy vegetables. 3. Take the iron with orange juice one hour before meals. 4. Decrease the intake of the antiseizure medications to improve. - ANS3. Take the iron with orange juice one hour before meals. With microcytic, hypochromic anemia, there may be an iron, B6, or copper deficiency, thalassemia, or lead poisoning. The iron prescribed should be taken with orange juice one hour before meals as it is absorbed best in an acid environment. Megaloblastic anemias occur with cobalamin (vitamin B12) and folic acid deficiencies. Vitamin B12 may help red blood cell (RBC) maturation if the patient has the intrinsic factor in the stomach. Green leafy vegetables provide folic acid for RBC maturation. Antiseizure drugs may contribute to aplastic anemia or folic acid deficiency, but the patient should not stop taking the medications. Changes in medications will be prescribed by the health care provider. The surgical patient has a new prescription to be transfused with two units of packed red blood cells (PRBCs). The n