Practice Quiz

NCLEX-RN

Category - Pharmacological

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The nurse is preparing to administer iron dextran (InFeD) to a patient with severe iron deficiency anemia. While reviewing the patient’s record, she comes upon the patient’s medical history. The record shows a history of hepatitis B, diabetes mellitus, and hypertension. Equipped with this knowledge, what is the nurse’s next action?
  1. Administer the diluted drug via IV infusion.
  2. Dilute with 50ml distilled water and administer orally.
  3. Confirm the order with the physician, because the patient has hepatitis.
  4. Confirm the order with the physician, because the patient has hypertension.
Explanation
Answer: A - Iron dextran comes in various preparations. If administering intravenously, the drug is diluted and then infused over several hours. A multidose vial is not suitable for IV use because it contains phenol as a preservative. Single-use ampoules or vials do not contain preservatives. Option B is incorrect; InFeD is a parenteral preparation of iron. Parenteral iron is preferred to PO preparations because the former can rapidly replenish iron stores. Options C and D are incorrect; extra caution should be taken when giving iron dextran if the patient has impaired renal function.
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