Anemia and Coagulation Meds Nclex
question and Answers Graded A+
A client is prescribed a liquid iron preparation that has the potential to stain the
teeth. The nurse should instruct the client to take which action to prevent staining
of the teeth?
1. Brush the teeth before drinking the iron.
2. Drink the iron undiluted for maximal effect.
3. Dilute more than the amount prescribed to obtain the correct dosage.
4. Dilute the iron in juice, drink it through a straw, and rinse the mouth afterward.
- Correct answer-4. Dilute the iron in juice, drink it through a straw, and rinse the
mouth afterward.
Rationale:
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,Liquid iron preparations will stain the teeth. The best advice for the client who
needs liquid iron is to dilute the iron in juice or water, drink it through a straw, and
rinse the mouth well afterward. Brushing before taking the liquid iron would not be
of any benefit. The nurse would not instruct a client to take more than the
prescribed amount
A client is scheduled to take ticlopidine. The nurse plans to take which action
before implementing this medication therapy?
1.Take the client's blood pressure.
2.Obtain a prothrombin time (PT).
3.Take the client's apical heart rate.
4.Review the results of the complete blood cell (CBC) count. - Correct answer-
4.Review the results of the complete blood cell (CBC) count.
Rationale:
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,Ticlopidine is an antiplatelet agent that is used for the prevention of thrombotic
stroke. Ticlopidine's effects last for the life of the platelet, 7 to 10 days. Ticlopidine
also can cause neutropenia, which is an abnormally small number of mature white
blood cells (WBCs). Baseline data from a CBC count are necessary before
implementation of therapy, and the nurse should monitor for neutropenia during
this medication therapy. If this adverse effect does occur, the health care provider is
notified and therapy should be stopped. The effects of neutropenia are reversible
within 1 to 3 weeks. Options 1, 2, and 3 are actions that are not specific to this
medication therapy.
A health care provider prescribed ticlopidine to the client with thrombotic stroke.
The nurse provides instructions to the client and spouse regarding the medication.
Which statement made by the client indicates that education was effective?
1."I'll take the medicine with meals."
2."If I do not feel well, I should skip the medication."
3."I won't have another stroke if I take this medicine faithfully."
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, 4."If I have any gastrointestinal side effects, I should call the health care provider
(HCP)." - Correct answer-1."I'll take the medicine with meals."
Rationale:
Ticlopidine is an antiplatelet agent that is used to assist in preventing a thrombotic
stroke. Ticlopidine is best tolerated when taken with meals. The most common side
effects are gastrointestinal (GI) disturbances. Taking ticlopidine with meals tends
to lessen those effects. It is not necessary to contact the health care provider (HCP)
if GI upset occurs. The client should not skip medications. The medication is used
to prevent strokes but does not guarantee that a stroke will not occur.
The nurse is providing dietary instructions to the client with anemia. The client
tells the nurse that the iron pills are very expensive and it will be difficult to pay
for the pills and buy the proper food. What is the most appropriate nursing
response?
1."You will have to find a way to afford both."
2."You will be fine as long as you take the iron pills."
3."Why don't you ask your family to help you out financially?"
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
question and Answers Graded A+
A client is prescribed a liquid iron preparation that has the potential to stain the
teeth. The nurse should instruct the client to take which action to prevent staining
of the teeth?
1. Brush the teeth before drinking the iron.
2. Drink the iron undiluted for maximal effect.
3. Dilute more than the amount prescribed to obtain the correct dosage.
4. Dilute the iron in juice, drink it through a straw, and rinse the mouth afterward.
- Correct answer-4. Dilute the iron in juice, drink it through a straw, and rinse the
mouth afterward.
Rationale:
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Liquid iron preparations will stain the teeth. The best advice for the client who
needs liquid iron is to dilute the iron in juice or water, drink it through a straw, and
rinse the mouth well afterward. Brushing before taking the liquid iron would not be
of any benefit. The nurse would not instruct a client to take more than the
prescribed amount
A client is scheduled to take ticlopidine. The nurse plans to take which action
before implementing this medication therapy?
1.Take the client's blood pressure.
2.Obtain a prothrombin time (PT).
3.Take the client's apical heart rate.
4.Review the results of the complete blood cell (CBC) count. - Correct answer-
4.Review the results of the complete blood cell (CBC) count.
Rationale:
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,Ticlopidine is an antiplatelet agent that is used for the prevention of thrombotic
stroke. Ticlopidine's effects last for the life of the platelet, 7 to 10 days. Ticlopidine
also can cause neutropenia, which is an abnormally small number of mature white
blood cells (WBCs). Baseline data from a CBC count are necessary before
implementation of therapy, and the nurse should monitor for neutropenia during
this medication therapy. If this adverse effect does occur, the health care provider is
notified and therapy should be stopped. The effects of neutropenia are reversible
within 1 to 3 weeks. Options 1, 2, and 3 are actions that are not specific to this
medication therapy.
A health care provider prescribed ticlopidine to the client with thrombotic stroke.
The nurse provides instructions to the client and spouse regarding the medication.
Which statement made by the client indicates that education was effective?
1."I'll take the medicine with meals."
2."If I do not feel well, I should skip the medication."
3."I won't have another stroke if I take this medicine faithfully."
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 4."If I have any gastrointestinal side effects, I should call the health care provider
(HCP)." - Correct answer-1."I'll take the medicine with meals."
Rationale:
Ticlopidine is an antiplatelet agent that is used to assist in preventing a thrombotic
stroke. Ticlopidine is best tolerated when taken with meals. The most common side
effects are gastrointestinal (GI) disturbances. Taking ticlopidine with meals tends
to lessen those effects. It is not necessary to contact the health care provider (HCP)
if GI upset occurs. The client should not skip medications. The medication is used
to prevent strokes but does not guarantee that a stroke will not occur.
The nurse is providing dietary instructions to the client with anemia. The client
tells the nurse that the iron pills are very expensive and it will be difficult to pay
for the pills and buy the proper food. What is the most appropriate nursing
response?
1."You will have to find a way to afford both."
2."You will be fine as long as you take the iron pills."
3."Why don't you ask your family to help you out financially?"
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
