Pharm 2 Chapter 49: Drugs Used to Treat Anemias 1-4

Flulike symptoms

A 69-year-old client has been diagnosed with malignant melanoma. The care team has collaborated with the client and her family and agreed on a plan of care that includes administration of interferon alfa-2b. After administering interferon alfa-2b, the oncology nurse should anticipate that the client may develop which adverse effect? Cyanosis and pallor Flulike symptoms Profound diaphoresis Decreased level of consciousness

Myocardial infarction

Adverse effects of epoetin and darbepoetin include increased risks of what condition? Hyperlipidemia Cirrhosis of the liver Myocardial infarction Diabetes mellitus type 2

Sickle cell 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? Iron deficiency anemia Pernicious anemia Sickle cell anemia Folic acid deficiency anemia

True

Cyanocobalamin is a vitamin B12 in a nasal formulation. True False

Reduce the need for allogenic blood transfusion

For what purpose would the nurse administer postoperative epoetin alfa to the client who is a Jehovah's Witness? To prevent the need for chemotherapy Treatment of anemia associated with chronic renal failure Treatment of HIV infection Reduce the need for allogenic blood transfusion

120 days.

The average lifespan of a red blood cell (RBC) is approximately: 30 days. 60 days. 120 days. 90 days.

True

The component of the red blood cell that is not recycled is bilirubin. True False

Reports of calf pain on dorsiflexion of the foot

The nurse is caring for a patient with chronic kidney disease who is receiving epoetin alfa. Which assessment finding would be of greatest concern for the nurse? A rash under the breast Reports of calf pain on dorsiflexion of the foot 1 pound weight gain in 1 week Dry, nonproductive cough

"The hematopoietic system is composed of fluid, red blood cells, white blood cells, and platelets."

The nurse is mentoring a first-year nursing student while caring for a client with a disease that affects the hematopoietic system. The student looks confused and says "I've never heard of that system. What is it?" How would the nurse respond? "The hematopoietic system is composed of fluid, red blood cells, white blood cells, and fibrosis." "The hematopoietic system is composed of fluid, red blood cells, white blood cells, and fibrin." "The hematopoietic system is composed of fluid, red blood cells, white blood cells, and platelets." "The hematopoietic system is composed of fluid, red blood cells, white blood cells, and fibrinogen."

Z-track intramuscular

When administering iron injections, which method would the nurse use? Z-track intramuscular Intradermal This medication is not to be given as an injection. Subcutaneous

Maintenance of myelin sheath

When describing the function of vitamin B12, what would be appropriate to include? Important role in cell division Prevention of neural tube defects Maintenance of myelin sheath Oxygen transport to the tissues

A 62-year-old male with cancer

Which patient will be at the greatest risk for anemia and be the most likely candidate for epoetin alfa therapy? A 30-year-old pregnant woman A 40-year-old male with a high white blood cell count A 20-year-old female A 62-year-old male with cancer

Pernicious anemia

fter 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? Sickle cell anemia Iron deficiency anemia Pernicious anemia Folic acid deficiency anemia

Fatigue Hypertension Rashes Headache

A client has been diagnosed with anemia. The nurse knows that erythropoiesis-stimulating agent (ESA) drugs are used to treat anemia associated with certain conditions and treatments. What are expected adverse drug reactions caused by ESAs? (Select all that apply.) Fatigue Hypertension Vaginal yeast infection Rashes Headache

blood pressure

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? heart rate blood pressure temperature respiratory rate

This drug is destroyed by acids found in the stomach.

A client prescribed epoetin alfa requests changing the medication from the subcutaneous to the oral route. Which statement should the nurse use to formulate a response to this request? The oral route while more desirable is not as effective. This drug is destroyed by acids found in the stomach. This medication is likely to causes severe diarrhea if given orally. The drug dose must be increased if being given via the oral route.

"Avoid shaking the medication vial." "Take the prescribed iron supplement with fruit juice that has vitamin C." "Do not place the vial in the freezer."

A client with chronic renal failure is prescribed subcutaneous epoetin alpha. Which information will the nurse include when teaching the client about this medication? Select all that apply. "Take acetaminophen as needed for bone pain." "Avoid shaking the medication vial." "Take the prescribed iron supplement with fruit juice that has vitamin C." "Take the calcium supplement as prescribed." "Do not place the vial in the freezer."

anemia

A client, diagnosed with chronic renal failure, has begun experiencing increasing shortness of breath. The nurse suspects that the client is experiencing symptoms associated with which resulting condition? thrombocytopenia hypertension anemia hypoglycemia

Viral hepatitis

A male client is prescribed interferon. What is his probable diagnosis? Bacteremia Viral hepatitis Hypertension Sepsis

Increase the growth of specific types of blood cells

Colony-stimulating factors (CSF) are administered to produce which therapeutic effect? Reduce side effects to a medication Increase the growth of specific types of blood cells Decrease the patient's reaction to a chemotherapeutic medication Enhance immune system functioning

12 g/dL

The nurse is preparing to administer an erythropoiesis-stimulating drug. The nurse checks the patient's chart, with the knowledge that the drug should not be administered to a patient with a target hemoglobin above which value? 10 mg/dL 12 g/dL 8 mg/dL 14 mg/dL

"Anemia is a condition caused by reduced amounts of hemoglobin, causing less oxygen to be delivered to the tissues."

The nurse is teaching a nursing student about anemia and knows that it is important to start by explaining the causes of anemia. Which statement is true about the cause of anemia? "Anemia is a condition caused by reduced amounts of platelets, causing less oxygen to be delivered to the tissues." "Anemia is a condition caused by reduced amounts of hematocrit, causing less oxygen to be delivered to the tissues." "Anemia is a condition caused by reduced amounts of protein, causing less oxygen to be delivered to the tissues." "Anemia is a condition caused by reduced amounts of hemoglobin, causing less oxygen to be delivered to the tissues."

chronic hepatitis C

While reviewing a client's the record, the nurse sees that the client received a dose of interferon alpha-2b? For what disorder does the nurse suspect the client was being treated? bacterial pneumonia asthma ankylosing spondylosis chronic hepatitis C

"I need to take an antacid with the pill to prevent an upset stomach."

A client is receiving ferrous sulfate as treatment for iron deficiency anemia. After teaching the client, which statement indicates the need for additional teaching? "It might take several months before my iron levels get back to normal." "I need to make sure that I eat enough foods containing iron." "I need to avoid taking the drug with coffee or tea." "I need to take an antacid with the pill to prevent an upset stomach."

Iron

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? Vitamin C Folic acid Iron Vitamin A

Iron levels

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: Renal failure Iron levels Swelling of veins Chemotherapy

iron deficiency anemia.

A patient comes to the clinic reporting fatigue and pica. Laboratory findings reveal a low serum iron level and a low ferritin level. Upon evaluation of this assessment and laboratory data, the nurse suspects that the patient will be diagnosed with: pernicious anemia. sickle cell anemia. hemolytic anemia. iron deficiency anemia.

"I will need these injections monthly for the rest of my life."

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." "I will get the injection for a week and then stop." "Once my levels are up, I won't need the drug anymore." "I need the injections now, but then I can switch to a pill."

Erythropoietin

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? Rocephin 1 GM IV A blood transfusion An increased dose of zidovudine Erythropoietin

Subcutaneous or Intravenous

A student nurse is caring for a client who is receiving a hematopoietic agent. To test the student's understanding, the nursing instructor states that the drug could be administered by what route? Oral only Subcutaneous or Oral Oral or Intravenous Subcutaneous or Intravenous

Altered red blood cell production or deficient functioning of red blood cells

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? A deficiency of vitamin B12 Decreased levels of platelets A defect in white blood cell function Altered red blood cell production or deficient functioning of red blood cells

Diarrhea Vomiting Asthenia

The nurse is teaching a patient who is to receive epoetin alfa about possible adverse effects. Which would the nurse include? (Select all that apply.) Dehydration Diarrhea Hypotension Vomiting Asthenia

Uncontrolled hypertension

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 Hypothyroidism Diabetes mellitus Osteoarthritis