Ch 49. Drugs Used to Treat Anemias
A patient has been receiving intramuscular injections of hydroxocobalamin as treatment for pernicious anemia. Which statement by the patient indicates that he understands the therapy?
"I will need these injections monthly for the rest of my life."
A client with a diagnosis of chronic renal failure will soon begin a regimen of epoetin that will be administered by the client at home. Which statement indicates that the nurse's initial health education has been successful?
"I'm not all that comfortable with giving myself an injection, but I'm sure I'll be able to learn."
Food and Drug Administration (FDA) has issued a black box warning advising prescribers to avoid using hematopoietic growth factors in clients with hemoglobin values of _________________.
12 g/dL (120 g/L)
A client is experiencing iron toxicity. Which agent would the nurse expect to be given?
Deferoxamine
A patient who is HIV positive is receiving zidovudine 4,2000 mg/week and has an endogenous erythropoietin level of 350 mU/mL. What does the nurse anticipate will be administered for this patient?
Erythropoietin
A nurse has been assigned to a 43-year-old man who is to receive epoetin alfa therapy. The patient is HIV-positive and has anemia related to zidovudine therapy. The nurse will monitor:
Iron levels
When describing the function of vitamin B12, what would be appropriate to include?
Maintenance of myelin sheath
After teaching a group of students about the types of anemia, the instructor determines that the teaching was successful when the students identify which anemia results from an inability to produce the intrinsic factor?
Pernicious anemia
After reviewing the major types of anemia, students demonstrate understanding of the information when they identify what as an example of a hemolytic anemia?
Sickle cell anemia
A client taking epoetin alfa requests changing the medication from the subcutaneous route to the PO route. How should the nurse respond?
This medication is destroyed in the stomach and can only be given by injection.
Cyanocobalamin is a vitamin B12 in a nasal formulation.
True
A nursing instructor is teaching students about the myelin sheath of the central nervous system (CNS). The nurse knows that teaching has been effective when a student identifies which vitamin as necessary for the formation of the myelin sheath in the CNS?
Vitamin B12
A client with chronic renal failure has a low hemoglobin level. Which medication(s) will the nurse anticipate being prescribed for this client? Select all that apply. - darbepoetin alfa - epoetin beta - interferon alpha-n3 - interferon beta-1a - epoetin alfa
epoetin alfa epoetin beta darbepoetin alfa
A client, currently prescribed epoetin alfa, has recent blood work that reveals a hemoglobin level of 12.8 g/dL. What action does this assessment finding necessitate regarding the epoetin alfa?
temporarily withholding administration
