Chapter 49: Drugs Used to Treat Anemias
A pt has been prescribed Darbepoietin alfa 0.45 mcg/kg IV once per week. The pt weighs 185 lb. How many micrograms of the medication should the nurse administer? Provide your response to the nearest microgram.
38 mcg
The provider ordres Darbepoetin alfa 0.45 mcg/kg for a 210 lb adult. How many micrograms of the drug should be administered?
43 mcg
After teaching a pt who is receiving ferrous sulfate about the drug therapy regimen, which pt statement indicates that the teaching was successful? A) My stools might turn dark or green B) I must take the drug on an empty stomach C) I need to eat three large meals every day D) I need to decrease the amount of fiber I eat
A
A pt has been receiving intramuscular injections of Hydroxocobalamin as treatment for pernicious anemia. Which statement by the pt indicates an understanding of the therapy? A) Once my levels are up, I won't need the drug anymore B) I will get the injection for a week and then stop C) I will need these injections monthly for the rest of my life D) I need the injections now, but then I can switch to a pill
C
A pt with anemia who is given iron salts could expect to show a therapeutic increase in hematocrit: A) Within 72 hours B) Within 2 to 3 weeks C) Within 6 to 10 months D) Within 1 to 2 weeks
C
The nurse is preparing to discharge a pt with a prescription of Ferumoxytol. What is an important warning for the nurse to share with this pt? A) Avoid magnetic resonance imaging B) Avoid iron-containing foods C) Increase fiber intake if diarrhea occurs D) Do not drink milk until this drug is discontinued
A
The nurse is teaching a pt diagnosed with renal failure who will begin receiving Epoetin alfa. What education should the nurse prioritize? A) Teaching the pt to self-administer subcutaneous injections B) Teaching the pt about the need for administration at the same time each morning C) Teaching the pt how to adjust the dose based on symptoms severity D) The need to limit sun exposure or wear sunscreen during treatment
A
The nurse suspects the pt has what type of anemia upon learning that the pt take Hydroxyurea? A) Sickle cell anemia B) Anemia of renal failure C) Iron deficiency anemia D) Anemia secondary to cancer chemotherapy
A
SATA. In a healthy person, very little iron is needed on a daily basis. Loss of iron is associated with which of the following? A) Heavy menstrual flow B) Bileduct obstruction C) Internal bleeding D) Penetrating traumatic injury E) Bone marrow suppression F) Alcoholic cirrhosis
A C D
RBCs must be continually produced by the body because: A) The iron within the RBC wears out and must be replaced B) RBCs cannot maintain themselves and wear out C) RBCs are continuously entering and being lost from the GI tract D) RBCs are processed into bile salts and must be replaced
B
SATA. After teaching a pt about the adverse effects of iron therapy, the pt demonstrates understanding of the information by identifying what potential adverse effects? A) Dizziness B) Anorexia C) Dark stools D) Fatigue E) Constipation
B C E
A pt with anemia is prescribed ferrous sulfate. The nurse should recommend what action to relieve the likely adverse effects? A) Avoid high-sodium foods and processed foods B) Take the medication with an antacid C) Take the medication at bedtime D) Increase fluid and fiber intake
D
After teaching a pt with pernicious anemia about vitamin B12 therapy, which pt statement would indicate that the teaching was successful? A) I can take this pill with breakfast B) I should take this pill at bedtime C) I need to inject this drug subcutaneously every day D) I need to inject this drug IM every 5 to 10 days
D
The nurse is caring for a pt taking an iron preparation who is admitted to the facility with septicemia. What antibiotic, if ordered by the provider, should the nurse question? A) Gentamicin B) Erythromycin C) Penicillin D) Ciprofloxacin
D
The nurse is caring for a pt taking ferrous sulfate. What dietary guideline should the nurse recommend to the pt? A) Do not drink grapefruit juice at any time during treatment B) Limit fat intake while taking iron C) Limit sodium intake until iron therapy is complete D) Avoid taking the medication with eggs or dairy
D
The nurse teaches the parents to administer an iron solution to their child who has anemia. What action should the nurse recommend? A) Have the child take a chewable antacid after taking the medication B) Sip the solution slowly over 30 minutes, if possible C) Mix the solution with chocolate milk to make it more palatable D) Have the child drink the solution with a straw
D
The nurse would expect the physician to prescribe Epoetin alfa as the drug of choice: A) For acute blood loss during surgery B) To replace blood loss from traumatic injury C) For treatment of anemia during lactation D) For treatment of anemia associated with renal failure
D
What pt is most likely to benefit from the use of a folic acid supplement? A) A pt with chronic renal failure who is anemic B) A pt who lost a significant amount of blood in workplace accident C) A pt who is on a low-calorie diet to lose weight D) A pt who is attempting to become pregnant
D
True or False: Cyanocobalamin is a form vitamin B12 in a nasal formulation.
True
True or False: The component of the red blood cell that is not recycled is bilirubin.
True
True or False: There is a risk of antibody production with the use of epoetin
True
The pt, diagnosed with anemia, asks that that means. The nurse best explains the disorder by saying anemia is characterized by what? A) Altered red blood cell production or function B) Decreased levels of platelets C) A deficiency of vitamin B12 D) A deficiency in cellular ability to metabolize glucose
A
Which of the following would the nurse include in the teaching plan when describing anemia to a pt? A) A decreased number of or abnormal RBCs B) A lack of iron in the body C) A lack of vitamin B12 in the body D) An excessive number of platelets
A
SATA. The nurse is teaching a pt who is to receive epoetin alfa about possible adverse effects. What would the nurse include? A) Dehydration B) Vomiting C) Diarrhea D) Hypotension E) Asthenia
B C E
SATA. Pts are often given iron pills by their clinic. Instructions in giving these pills should include: A) Taking the drug will milk to avoid GI problems B) The potential for constipation C) Keeping these potentially toxic pills away from children D) Taking the drug with antacids to alleviate GI upset E) Having periodic blood tests to evaluate the drug effect F) Being aware that stools may be colored green
B C E F
Megaloblastic anemia is a result of insufficient folic acid or vitamin B12, affecting which of the following? A) White blood cell production B) Vegetarions C) Rapidly turning over cells D) Slow-growing cells
C
To ensure maximum absorption a nurse instructs a pt receiving oral iron therapy to avoid taking the iron with: A) Protein B) Antibiotics C) Dairy products D) Any other drugs
C
SATA. The nurse teaches the pt prescribed iron therapy to allow at least 2 hours to lapse before or after taking what? A) Ranitidine B) Chloramphenicol C) Antacids D) Norfloxacin E) Tetracycline
C D E
SATA. What would a nurse identify as contraindications for iron therapy? A) Esophageal varices B) Gastroesophageal reflux C) Hemolytic anemia D) Colitis E) Peptic ulcer disease
C D E
True or False: Folic acid is necessary for cell growth and maintenance of the myelin sheath.
False; Folic acid is necessary for cell growth and development; vitamin B12 is necessary for maintenance of the myelin sheath
True or False: The mature red blood cell contains a nucleus.
False; There is no nucleus in a mature red blood cell
A pt develops anemia secondary to chronic hemodialysis. The health care provider prescribes iron sucrose. The nurse expects this drug to be administered by which route? A) Oral B) Subcutaneous C) Intravenous D) Intramuscular
C
After teaching a group of students about RBC production the instructor determines that the teaching was effective when the group states that the rate of RBC production is controlled by: A) Iron B) Folic acid C) Erythropoietin D) Vitamin B12
C
The nurse is preparing to administer a pt's first prescribed dose of iron dextran. What education should the nurse provide before administering the medication? A) This pill might make your stool appear dark for the next few days B) This will increase your iron levels during your dialysis session C) Pts often find this injection somewhat painful D) It's important that you take this on an empty stomach
C
The nurse is providing care for a pt who has been admitted to the hospital with urosepsis and who take hydroxyurea on an ongoing, daily basis. In addition to assessing the course of the pt's infection, the nurse should prioritize what other assessment? A) Cardiac assessment B) Neurologic assessment C) Pain assessment D) Respiratory assessment
C
The nurse identifies the pt as having what type of anemia upon learning of the pt's inability to produce intrinsic factor? A) Pernicious anemia B) Sickle cell anemia C) Folic acid deficiency anemia D) Iron deficiency anemia
A
What drug would be appropriate for the nurse to administer to treat iron toxicity? A) Succimer B) Calcium disodium edetate C) Deferoxamine mesylate D) Dimercaprol
C
