The nurse is preparing a dose of parenteral iron (iron dextran) for a client with severe resistant anemia. The nurse is aware of the major adverse reaction that can accompany intravenous ferric gluconate

Question

Which assessment parameters will the nurse attend to most closely?
1. Respiratory status and blood pressure
2. Balance and mobility
3. Level of consciousness and spontaneous movement
4. Temperature and muscle tone

Answer 1

Correct Answer: 1
Rationale 1: Anaphylaxis is a possibility after the administration of intravenous iron dextran. Blood pressure, pulse, and respirations should be tracked.
Rationale 2: Iron dextran does not affect balance and mobility.
Rationale 3: Iron dextran does not affect level of consciousness and movement.
Rationale 4: Iron dextran does not affect temperature or muscle tone.
Global Rationale: Anaphylaxis is a possibility after the administration of intravenous iron dextran. Blood pressure, pulse, and respirations should be tracked. Iron dextran does not affect balance, mobility, level of consciousness, movement, temperature, or muscle tone.