Anemia

. True or False: Early signs and symptoms of iron-deficiency anemia are vague. a. True b. False

True The answer is TRUE.

You're providing education to a patient about how to take their prescribed iron supplement. Which statement by the patient requires you to re-educate the patient on how to take this supplement?* A. "I will take this medication on an empty stomach." B. "I will avoid taking this medication with orange juice." C. "I will wait and take my calcium supplements 2 hours after I take my iron supplement." D. "This medication can cause constipation. So, I will drink plenty of fluids and take a stool softer as needed."

B. "I will avoid taking this medication with orange juice." The answer is B. The patient should be encouraged to take their iron supplement with Vitamin C (hence orange juice) because Vitamin C increases the absorption of iron. All the other statements are correct in how to take an iron supplement.

Select all the patients who are at MOST risk for iron-deficiency anemia: A. A 55 year old male who reports taking Ferrous Sulfate regularly. B. A 25 year old female who was recently diagnosed with Celiac Disease. C. A 35 year old female who is 36 weeks pregnant that reports craving ice. D. A 67 year old female with a Hemoglobin level of 14.

B. A 25 year old female who was recently diagnosed with Celiac Disease. C. A 35 year old female who is 36 weeks pregnant that reports craving ice. The answers are B and C. Patients who have GI issues, such as Celiac Disease, are at risk for iron-deficiency anemia due to damage to the intestines, which play a huge role in absorbing iron. In addition, females who are pregnant are at risk for this condition because of fetal demands on the body for iron. Also, this patient is craving ice which is a sign that the body is low on iron. Option A is wrong because Ferrous Sulfate is an iron supplement, therefore decreasing the patient's chances of developing this condition, and option D is wrong because the patient's hemoglobin level is normal (normal Hgb level for a female is 12 to 15.5 women & 13.5-17.5 for men.

4. The physician orders a patient with suspected iron-deficiency anemia a blood smear test to assess the quality of the red blood cells. How would the red blood cells appear if the patient had iron- deficiency anemia? A. Hyperchromic and macrocytic B. Hypochromic and microcytic C. Hyperchromic and macrocytic D. Hypochromic and macrocytic

B. Hypochromic and microcytic The answer is B. The RBCs would appear pale (hypochromic) and small (microcytic).

You are providing diet teaching to a patient with low iron levels. Which foods would you encourage the patient to eat regularly? A. Herbal tea, apples, and watermelon B. Sweet potatoes, artichokes, and packaged meat C. Egg yolks, beef, and legumes D. Chocolate, cornbread, and cabbage

C. Egg yolks, beef, and legumes The answer is C. Of all the options, foods in option C contain the most iron.

A patient, with a history of gastric bypass surgery 6 months ago, reports feeling very fatigued and is having food cravings for clay and dirt. On assessment, you note the patient has nail changes that look "spoon-shaped". This spoon-shaped appearance of the nails is called? A. Terry's Nails B. Onychoschizia C. Koilonychias D. Leukonychia

C. Koilonychias The answer is C. Koilonychias is the medial term for a spoon-shaped appearance of nails found in iron-deficiency anemia.

A patient is admitted with iron- deficiency anemia and has been receiving iron supplementation. The patient voices concern about how their stool is dark black. As the nurse, you would? A. Notify the doctor B. Hold the next dose of iron C. Reassure the patient this is a normal side effect of iron supplementation D. None of the options are correct

C. Reassure the patient this is a normal side effect of iron supplementation The answer is C. This is a normal side effect of iron supplementation and demonstrates the body is absorbing the iron.

True or False: High levels of iron lead to the body producing fewer red blood cells. a. True b. False

False The answer is FALSE. LOW (not high) levels of iron lead to the body producing fewer red blood cells.

True or False: The body uses hemoglobin to make iron. a. True b. False

False The answer is FALSE. The body uses IRON to make hemoglobin (not the other way around as stated in the question).

True or False: The least common type of anemia is iron-deficiency anemia. a. True b. False

The answer is FALSE. The MOST common type of anemia is iron-deficiency anemia.