Pharmacology Final Exam 2 Review Questions and Answers with Rationales
1. A nurse is teaching a client who has a new prescription for ferrous sulfate.
... [Show More] Which of the following
statements by the client indicates need for additional teaching?
INCORRECT
A. "I will expect the color of my urine to be amber."
Rationale: The color of the urine is an indication of how concentrated or diluted the urine is and may
be affected by food and medications; however, ferrous sulfate does not affect the color of the urine.
B. "I should not expect any changes in color of stools."
Rationale: Ferrous sulfate is an iron supplement used to treat clients who have iron deficiency
anemia. An expected adverse effect of this medication is black, tarry stools.
INCORRECT
C. "I should expect increased bruising."
Rationale: Ferrous sulfate does not impact clotting factors or platelets, so the client should not expect
increased bruising.
INCORRECT
D. "I will not get as many infections."
Rationale: Ferrous sulfate will not impact white blood cells, so the client does not have any added
protection from infection while taking this medication.
2. A nurse is preparing to initiate a transfusion of packed RBC for a client who has anemia. Which of
the following describes the correct actions for to nurse take?
INCORRECT
A. Leave the client 5 min after beginning the transfusion.
Rationale: The nurse should remain with the client for 15 to 30 min after the start of the transfusion
to monitor for a reaction, which usually occurs during the first 50 mL of the transfusion.
B. Infuse the transfusion over 2-4 hours.
Rationale: The transfusion should infuse in 2 to 4 hr to prevent fluid overload.
INCORRECT
C. Check the client's vital signs every 15 minutes during the transfusion.
Rationale: The nurse should check the client's vital signs every 15 min at the start of the transfusion,
then every 1 hr to monitor for a transfusion reaction.
INCORRECT
D. Flush the blood tubing with dextrose 5% in water.
Rationale: The nurse should flush the blood tubing with 0.9% sodium chloride to prevent hemolysis
of the blood [Show Less]