C HAPTER 54: A NEMIA D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse is administering liquid oral iron supplements. Which
intervention is appropriate when administering this medication?
a. Have the patient take the liquid iron with milk.
b. Instruct the patient to take the medication through a plastic straw.
c. Have the patient sip the medication slowly.
d. Have the patient drink the medication, undiluted, from the unit -dose
cup.
ANS: B
Liquid oral forms of iron nee d to be taken through a plastic straw to
avoid discoloration of tooth enamel. Milk may decrease absorption.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. A woman who is planning to become pregnant should ensure that she
receives adequate levels of which supplement to reduce the risk for fetal
neural tube defects?
a. Vitamin B12
b. Vitamin D
c. Iron
d. Folic acid
, ANS: D
It is recommended that administratio n of folic acid be begun at least 1
month before pregnancy and continue through earl y pregnancy to
reduce the risk for fetal neural tube defects.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential
3. The nurse is administering folic acid to a patient with a new diagnosis of
anemia. Which statement about treatment with folic acid is true?
a. Folic acid is used to treat any t ype of anemia.
b. Folic acid is used to treat i ron-deficiency anemia.
c. Folic acid is used to treat pernicious anemia.
d. The specific cause of the anemia needs to be determined before
treatment.
ANS: D
Folic acid should not be used to treat anemias until the underlying
cause and t ype of anemia have been i dentified. Administering folic
acid to a patient with pernicious anemia may correct the hematologic
changes of anemia, but the symptoms of pernicious anemia (which is
due to a vitamin B12 deficiency, not a folic acid deficiency) may be
deceptivel y masked. The other options are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse is administering liquid oral iron supplements. Which
intervention is appropriate when administering this medication?
a. Have the patient take the liquid iron with milk.
b. Instruct the patient to take the medication through a plastic straw.
c. Have the patient sip the medication slowly.
d. Have the patient drink the medication, undiluted, from the unit -dose
cup.
ANS: B
Liquid oral forms of iron nee d to be taken through a plastic straw to
avoid discoloration of tooth enamel. Milk may decrease absorption.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
2. A woman who is planning to become pregnant should ensure that she
receives adequate levels of which supplement to reduce the risk for fetal
neural tube defects?
a. Vitamin B12
b. Vitamin D
c. Iron
d. Folic acid
, ANS: D
It is recommended that administratio n of folic acid be begun at least 1
month before pregnancy and continue through earl y pregnancy to
reduce the risk for fetal neural tube defects.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential
3. The nurse is administering folic acid to a patient with a new diagnosis of
anemia. Which statement about treatment with folic acid is true?
a. Folic acid is used to treat any t ype of anemia.
b. Folic acid is used to treat i ron-deficiency anemia.
c. Folic acid is used to treat pernicious anemia.
d. The specific cause of the anemia needs to be determined before
treatment.
ANS: D
Folic acid should not be used to treat anemias until the underlying
cause and t ype of anemia have been i dentified. Administering folic
acid to a patient with pernicious anemia may correct the hematologic
changes of anemia, but the symptoms of pernicious anemia (which is
due to a vitamin B12 deficiency, not a folic acid deficiency) may be
deceptivel y masked. The other options are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Planning
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
