NUSA 207 - Exam 5 Questions and Answers Latest Update 2025 Graded A+
Ferrous Sulfate - Answers iron preparation
Ferrous Sulfate action - Answers provide iron needed for RBC development and oxygen transport
Ferrous Sulfate use - Answers treat and prevent iron-deficiency anemia
Ferrous Sulfate complications - Answers - teeth staining (liquid form)
- staining of skin and other tissues (IM)
- anaphylaxis
- fatal iron toxicity in children (2 to 10 g overdose)
- hypotension
- GI discomfort
Ferrous Sulfate contraindications - Answers - antacids, tetracyclines (reduce iron absorption)
- caffeine, dairy products (interfere with iron absorption)
- anemias other than iron-deficiency
- allergic to iron
- caution in clients with peptic ulcer disease, regional enteritis, ulcerative colitis, severe liver disease
Ferrous Sulfate drug interactions - Answers - antacids
- tetracyclines
Ferrous Sulfate client considerations - Answers - take on an empty stomach
- take at regular intervals throughout the day
- can cause dark green or black stools and constipation
- may need to take for 1 - 2 months
- eat foods high in iron (liver, eggs, muscle meats, yeast, grains, green leafy vegetables)
Heparin - Answers parenteral anticoagulant
Heparin action - Answers - prevents clotting by activating antithrombin, thus indirectly inactivating both
thrombin and factor Xa inhibiting fibrin formation
,Heparin use - Answers - conditions necessitating prompt anticoagulant activity (stroke, PE, massive DVT)
- an adjunct for clients having open-heart surgery or dialysis
- low-dose therapy for prophylaxis against postoperative DVT (hip/knee, abdominal surgery)
- treatment of disseminated intravascular coagulation (DIC)
Heparin complications - Answers - hemorrhage
- epidural or spinal hematoma
- drug-induced thrombocytopenia
- toxicity
- allergic reaction
Heparin contraindications - Answers - low platelet count or uncontrollable bleeding
- eye, brain, or spinal cord surgeries
- lumbar puncture or regional anesthesia
- caution in clients with hemophilia, peptic ulcer disease, severe hypertension, liver or kidney disease,
threatened abortion
Heparin drug interactions - Answers - antiplatelet agents and other anticoagulants (increase risk for
bleeding)
- garlic, ginger, glucosamine, ginkgo biloba (increase risk for bleeding)
Heparin client considerations - Answers - obtain baseline vital signs
- monitor aPTT and keep value 1.5 - 2 times the baseline
- monitor aPTT every 4 - 6 hours
- do not exceed 100 mg in a 2 hour period
- withdraw med with a 20-22 gauge, then administer with a 25-26 gauge 1/2 to 5/8 inch long needle
- inject into the abdomen 2 inches from the umbilicus
- educate client about bleeding precautions
- avoid use of OTC NSAIDs, aspirin, or meds containing salicylates
Enoxaparin - Answers parenteral anticoagulant (Lovenox)
, Enoxaparin action - Answers inactivates factor Xa
Enoxaparin use - Answers - prevent DVT in clients who are postoperative
- treat DVT and PE
- prevent complications in angina, non-Q wave MI, and ST-elevation MI
Enoxaparin complications - Answers - hemorrhage
- epidural or spinal hematoma
- drug-induced thrombocytopenia
- toxicity (administer protamine slowly)
- allergic reaction
Enoxaparin contraindications - Answers - low platelet count or uncontrollable bleeding
- eye, brain, or spinal cord surgeries
- lumbar puncture or regional anesthesia
- caution in clients with hemophilia, peptic ulcer disease, severe hypertension, liver or kidney disease,
threatened abortion
Enoxaparin drug interactions - Answers - antiplatelet agents and other anticoagulants (increased risk for
bleeding)
- garlic, ginger, glucosamine, ginkgo biloba (increased risk for bleeding)
Enoxaparin client considerations - Answers - monitoring not required, can be used at home
- provide instruction regarding self-administration
- prefilled syringes (do not expel air bubble in the syringe)
- pinch the area and inject at 90-degree angle
- do not rub site after injection
- rotate injection site
- monitor for indications of excessive bleeding
- use electric razor for shaving and brush with a soft toothbrush
- avoid use of OTC NSAIDs, aspirin, or meds containing salicylates
Ferrous Sulfate - Answers iron preparation
Ferrous Sulfate action - Answers provide iron needed for RBC development and oxygen transport
Ferrous Sulfate use - Answers treat and prevent iron-deficiency anemia
Ferrous Sulfate complications - Answers - teeth staining (liquid form)
- staining of skin and other tissues (IM)
- anaphylaxis
- fatal iron toxicity in children (2 to 10 g overdose)
- hypotension
- GI discomfort
Ferrous Sulfate contraindications - Answers - antacids, tetracyclines (reduce iron absorption)
- caffeine, dairy products (interfere with iron absorption)
- anemias other than iron-deficiency
- allergic to iron
- caution in clients with peptic ulcer disease, regional enteritis, ulcerative colitis, severe liver disease
Ferrous Sulfate drug interactions - Answers - antacids
- tetracyclines
Ferrous Sulfate client considerations - Answers - take on an empty stomach
- take at regular intervals throughout the day
- can cause dark green or black stools and constipation
- may need to take for 1 - 2 months
- eat foods high in iron (liver, eggs, muscle meats, yeast, grains, green leafy vegetables)
Heparin - Answers parenteral anticoagulant
Heparin action - Answers - prevents clotting by activating antithrombin, thus indirectly inactivating both
thrombin and factor Xa inhibiting fibrin formation
,Heparin use - Answers - conditions necessitating prompt anticoagulant activity (stroke, PE, massive DVT)
- an adjunct for clients having open-heart surgery or dialysis
- low-dose therapy for prophylaxis against postoperative DVT (hip/knee, abdominal surgery)
- treatment of disseminated intravascular coagulation (DIC)
Heparin complications - Answers - hemorrhage
- epidural or spinal hematoma
- drug-induced thrombocytopenia
- toxicity
- allergic reaction
Heparin contraindications - Answers - low platelet count or uncontrollable bleeding
- eye, brain, or spinal cord surgeries
- lumbar puncture or regional anesthesia
- caution in clients with hemophilia, peptic ulcer disease, severe hypertension, liver or kidney disease,
threatened abortion
Heparin drug interactions - Answers - antiplatelet agents and other anticoagulants (increase risk for
bleeding)
- garlic, ginger, glucosamine, ginkgo biloba (increase risk for bleeding)
Heparin client considerations - Answers - obtain baseline vital signs
- monitor aPTT and keep value 1.5 - 2 times the baseline
- monitor aPTT every 4 - 6 hours
- do not exceed 100 mg in a 2 hour period
- withdraw med with a 20-22 gauge, then administer with a 25-26 gauge 1/2 to 5/8 inch long needle
- inject into the abdomen 2 inches from the umbilicus
- educate client about bleeding precautions
- avoid use of OTC NSAIDs, aspirin, or meds containing salicylates
Enoxaparin - Answers parenteral anticoagulant (Lovenox)
, Enoxaparin action - Answers inactivates factor Xa
Enoxaparin use - Answers - prevent DVT in clients who are postoperative
- treat DVT and PE
- prevent complications in angina, non-Q wave MI, and ST-elevation MI
Enoxaparin complications - Answers - hemorrhage
- epidural or spinal hematoma
- drug-induced thrombocytopenia
- toxicity (administer protamine slowly)
- allergic reaction
Enoxaparin contraindications - Answers - low platelet count or uncontrollable bleeding
- eye, brain, or spinal cord surgeries
- lumbar puncture or regional anesthesia
- caution in clients with hemophilia, peptic ulcer disease, severe hypertension, liver or kidney disease,
threatened abortion
Enoxaparin drug interactions - Answers - antiplatelet agents and other anticoagulants (increased risk for
bleeding)
- garlic, ginger, glucosamine, ginkgo biloba (increased risk for bleeding)
Enoxaparin client considerations - Answers - monitoring not required, can be used at home
- provide instruction regarding self-administration
- prefilled syringes (do not expel air bubble in the syringe)
- pinch the area and inject at 90-degree angle
- do not rub site after injection
- rotate injection site
- monitor for indications of excessive bleeding
- use electric razor for shaving and brush with a soft toothbrush
- avoid use of OTC NSAIDs, aspirin, or meds containing salicylates
