The nurse is assigned to a child with hemosiderosis. The nurse will most expect to give which of the following ordered medications to reduce hemosiderosis?
a. naloxone hydrochloride (Narcan) c. ferrous sulfate
b. deferoxamine (Desferal) d. a daily vitamin with minerals
B
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A Incorrect. Assigned to a child with hemosiderosis, the nurse will not most expect to give naloxone hydrochloride (Narcan) to reduce hemosiderosis.
B Correct. Repeated transfusions eventually result in a buildup of excess iron in the body, causing iron overload or hemosiderosis. Iron is toxic to the tissues and organs and eventually causes organ failure and death. A chelating agent is required to reduce the amount of stored iron. Desferal (Deferoxamine) is the preferred medication.
C Incorrect. Assigned to a child with hemosiderosis, the nurse will not most expect to give ferrous sulfate (more iron) to reduce hemosiderosis.
D Incorrect. Assigned to a child with hemosiderosis, the nurse will not most expect to give a daily vitamin (more iron) with minerals to reduce hemosiderosis.
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