A patient has been taking ferrous sulfate for anemia and comes to the clinic for a follow-up appointment a month later. What clinical indication would the nurse look for as a sign of suc-cessful treatment?
a. The patient states that she has less bleeding during menstruation.
b. Hemoglobin level rises by at least 2 gm/dL.
c. Hematocrit level rises by at least 1 gm/dL.
d. Reticulocytes decrease within 1 week.
B
When therapy is successful, the hemoglobin level increases by 2 gm /dL within 1 month.
Iron does not affect bleeding during menstruation; rather, it is essential to the function of he-moglobin and myoglobin.
When assessing a patient's response to iron therapy, the hematocrit is not the laboratory parame-ter that is used to see if the iron is effective.
Reticulocytes increase within 3 to 4 days of the start of iron therapy.
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