Pharm - Hematologic

The nurse is preparing to administer filgrastim to the client. Which route of administration should the nurse determine is the most appropriate for this medication?

Subcutaneous

The home care nurse is making a monthly visit to a client with a diagnosis of pernicious anemia who has been receiving a monthly injection of cyanocobalamin. Before administering the injection, the nurse evaluates the effects of the medication and determines that a therapeutic effect is occurring if the client makes which statement?

"I feel stronger and have a much better appetite"

The nurse has provided instruction to a client with chronic kidney disease who has a prescription for epoetin alfa. Which statement by the client indicates that teaching was effective?

"I have to receive this medication subcutaneously."

The nurse is providing instructions to the parent of a child with iron deficiency anemia about the administration of a liquid oral iron supplement. Which statement, if made by the parent, indicates an understanding of the administration of this medication?

"I should use a medicine dropper and place the iron near the back of the throat."

Epoetin alfa is prescribed for a client diagnosed with chronic kidney disease. The client asks the nurse about the purpose of the medication. Which response by the nurse is most appropriate?

"It is used to treat anemia."

The nurse is providing dietary instructions to the client with anemia. The client tells the nurse that the iron pills are very expensive, and it will be difficult to pay for the pills and buy the proper food. What is the most appropriate nursing response?

"Would you like for me to check into some other options for you?"

The nurse has a prescription to administer a dose of iron by the intramuscular route to the client. What are the most appropriate nursing actions?

1,4,5

The nurse is evaluating the results of laboratory studies for a client receiving epoetin alfa. When should the nurse expect to note a therapeutic effect of this medication?

After 2 weeks of therapy

A client with chronic kidney disease is receiving epoetin alfa for the past 2 months. What should the nurse determine is an indicator that this therapy is effective?

An increase in serum hematocrit

A client with chronic kidney disease is receiving ferrous sulfate. The nurse instructs the client that which finding is a common side/adverse effect associated with this medication?

Constipation

The nurse is caring for a client for a client who was just admitted to the hospital for the treatment of iron overload. The nurse anticipates that the primary health care provider will prescribe which medication to treat the iron overload?

Deferoxamine

A client is prescribed a liquid iron preparation that has the potential to stain the teeth. The nurse should instruct the client to take which action to prevent staining of the teeth?

Dilute the iron in juice, drink it through a straw, and rinse the mouth afterward.

The nurse is preparing to administer filgrastim by IV infusion. Which nursing action is the most appropriate for administering this medicaiton?

Dilute the medication in 5% dextrose in water

A client with chronic kidney disease is receiving epoetin alfa. Which laboratory result would indicate a therapeutic effect of the medication?

Hematocrit of 33% (0.33)

The client in chronic kidney disease is receiving epoetin alfa. The nurse should monitor this client for which side/adverse effect of this medication?

Hypertension

The nurse is monitoring a client who is receiving epoetin alfa for adverse effects of the medication. Which finding indicates a side/adverse effect?

Hypertension

The nurse is preparing to administer filgrastim to a client with a diagnosis of agranulocytosis. The client asks the nurse about the purpose of the medication. Which information should the nurse include in the response regarding action of this medication?

It promotes the growth of neutrophils.

The nurse is reviewing the laboratory test results for a client who is receiving filgrastim. Which reported value would indicate an effective response to this medication?

Neutrophil count of 10,000 mm3

Epoetin alfa by the subcutaneous route is prescribed for a client. What is the most appropriate nursing action?

Refrigerate the medication until used

A client is diagnosed with iron deficiency anemia, and ferrous sulfate is prescribed. The nurse should tell the client that it would be best to take the medication with which food?

Tomato Juice