Drugs used to treat anemia
The clinic nurse receives a call from a male client who has been taking interferon alfa for 7 days. The client states that he has become very sad and wonders if life is worth living. What is the best response by the nurse to this client?
"Come to the clinic as soon as possible."
After teaching a patient who is receiving ferrous sulfate about the drug therapy regimen, which patient statement indicates that the teaching was successful?
"My stools might to dark or green"
An adult client has been diagnosed with ischemic heart disease, and a family member has asked for information about the action of G-CSF drugs. Which response best answers the request for information?
"The drug promotes blood vessel growth around blocked areas in coronary arteries."
The average lifespan of a red blood cell (RBC) is approximately:
120 days
A client with a diagnosis of renal failure is being treated for anemia with epoetin alfa. Frequent assessment of which laboratory values should be prioritized before and during treatment?
CBC
The client is a woman 65 years of age being treated for anemia secondary to chronic kidney disease. The nurse explains to the client that she will be getting a prescription for Epogen. Which of the following additional information would the nurse provide?
Chronic kidney disease slows the production of red blood cells causing anemia. Epogen stimulates the production of red blood cells to treat anemia.
A client who was diagnosed with iron deficiency anemia is worried because she does not know why she was prescribed iron supplements. The nurse teaches the client about which action of oral iron administration?
Iron acts by elevating the serum iron concentration to replenish hemoglobin to treat anemia.
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
After teaching a group of students about anemias, the instructor determines that the teaching was effective when the students identify what as the critical issue?
altered red blood cell production or deficient functioning of red blood cells
A client has been receiving regular doses of epoetin alfa for several weeks, and the home care nurse has been monitoring the client's condition closely. When taking the client's vital signs, the nurse should pay particular attention to what assessment datum?
blood pressure
The home care nurse is caring for a client who is self-administering epoetin. What assessment is most important for the nurse to complete during the visit?
blood pressure
A patient is to be administered an erythropoiesis-stimulating agent. Which of the following drugs would the nurse administer?
epoetin alpha
The patient with chronic renal failure requires an agent to increase red blood cell production. What drug does the nurse anticipate administering?
epoetin alpha
Red blood cells (RBCs) are mainly composed of _________________, which enables the cells to carry oxygen to the cells in the body.
hemoglobin
Which would a nurse identify as the primary issue associated with anemias?
ineffective red blood cells
A male client is self-administering epoetin in the home. The nurse encourages him to include what supplements as part of his daily medication regimen?
iron
A client is receiving epoetin alfa for anemia. Which adjunctive therapy is imperative with epoetin alfa?
iron supplement
A patient with chronic renal failure receiving epoetin alfa will be having a total left hip arthroplasty. What supplementation should the patient receive prior to surgery?
iron supplement
The client is a woman, 79 years of age, prescribed an iron preparation for anemia. The client's daughter becomes alarmed and calls the provider before giving the iron after she reads the label, because she knows that her mother is also taking which medication?
levothyroxine every day
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
A patient has been prescribed epoetin alfa. The nurse recognizes that this medication is indicated for treatment of anemia associated with which disease process?
renal failure
The patient is being prescribed epoetin alfa for the treatment of anemia related to the renal failure. The patient also has a history of diabetes mellitus, uncontrolled hypertension, osteoarthritis, and hypothyroidism. Which of these conditions should the nurse bring to the physician's attention prior to administering the medication?
uncontrolled hypertension
