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A nurse is teaching about filgrastim to a client. During the teach-back session, which statement by the client indicates a need for additional teaching?

"I will take this medication until it is all gone."

A client is undergoing chemotherapy for vulvar cancer. The client had a friend who died after treatment, which has caused severe anxiety and fear; the client is constantly tired and sees this as an indication she won't survive. The nurse knows that the client is scheduled for immunostimulant drug therapy to support the hematopoietic system.The nurse would include which statement to explain the action of drug?

"Taking immunostimulants to stimulate the production of blood cells will help you feel better."

The nurse is preparing to administer oprelvekin to a client diagnosed with a chemotherapy-induced bleeding disorder. The nurse is explaining to the client the reason for administering this drug? Which explanation is best?

"The drug is used to increase platelet count during chemotherapy."

The nurse is caring for a client in the immediate postoperative period following cardiac transplantation who is receiving mycophenolate IV. What should the nurse teach the client regarding drug therapy? Select all that apply.

"The drug will be given orally as soon as possible. "It's important to avoid people with contagious diseases." "Ask a pharmacist about drug-drug interactions before taking any over-the-counter (OTC) drug once you're discharged." "Never miss a dose of medication."

The nurse is administering colony-stimulating factors to an older adult client after chemotherapy. The nurse should explain to the client that this medication is being administered for which reason?

"Your body is going to have trouble fighting off infections on it's own. This medication will help with that."

The correct treatment regimen for oprelvekin is for injections to start within:

6 hours and continue until platelet count is at least 50,000/mcL.

What clients are likely to benefit from treatment with interferons? Select all that apply.

A 52 year-old female client with multiple sclerosis An adult client who has chronic hepatitis C

What client would be most likely to benefit from the administration of epoetin alfa

A client with hemorrhage after abdominal surgery

The nurse is caring for a client diagnosed with rheumatoid arthritis (RA) who recently underwent a liver transplant. What immunosuppressant could this client be prescribed that would treat both diagnoses?

Anakinra

The nurse is seeing a client in the emergency department who has not passed urine in four days. The client was diagnosed with anemia during a previous visit and was prescribed oral iron supplements. The nurse expects that which of the following types of anemia would be a priority part of the initial workup?

Anemia in chronic kidney disease

A client is scheduled for renal transplantation. At what point in the client's care should the first dose of sirolimus be given?

As soon as possible after the transplant

What are important precautions a nurse should teach a client receiving an immunosuppressant? (Select all that apply.)

Avoid crowds. Take precautions to avoid getting pregnant. Keep follow-up appointments for laboratory assessments.

Which laboratory value is necessary for the nurse to monitor in a client receiving darbepoetin alfa?

CBC

The nurse educator is teaching a class of students about the actions and uses of colony stimulating factor. The nurse should inform students CSF is indicated for what secondary problem related to cancer treatment?

Chemotherapy-induced neutropenia

The nurse is addressing with a nursing student the types of treatments to expect when caring for a client with chronic kidney disease. Which of the following would the nurse include in the lesson plan?

Colony stimulating factors are one type of immunostimulant that can boost the diminished cell count caused by chronic kidney failure

The nurse is caring for a client who is receiving parenteral administration of an iron supplement. During administration, the nurse will monitor and report which of the following adverse reactions immediately?

Dyspnea, urticaria, rashes, itching, and fever

The nurse is administering cyclosporine. The nurse should anticipate the client may report which adverse reaction?

Excessive hair growth

A client is receiving omalizumab to treat allergic asthma, which is not relieved by inhaled corticosteroids. Which nursing intervention is appropriate with each dose administration of omalizumab?

Have epinephrine available during administration.

A client comes to the clinic asking what hematopoiesis means. How should the nurse explain this to the client?

Hematopoiesis means undifferentiated stem cells are stimulated to become specific blood cells.

A nurse educator is teaching nursing students about the administration colony-stimulating factors. Teaching is effective when the students identify the need to assess for which adverse reaction related to this drug?

Hypertension

A nurse is caring for a client with a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements related to iron deficiency. Which instructions should the nurse offer the client when providing care?

Increase intake of lean red meats.

A student nurse is preparing to administer an oral iron supplement to a client diagnosed with iron deficiency anemia. The supervising nurse should question the student regarding which interaction caused when iron and antibiotics are used together for treatment?

Iron causes a decreased gastrointestinal absorption of the antibiotic.

A nurse is attending a professional development class on hematopoietic drugs. The course would include which of the following types of anemia? Select all that apply.

Iron deficiency Anemia in chronic kidney disease Pernicious anemia Folic acid deficiency

The nurse is in the process of creating test questions about immunostimulant drugs for nursing students in an online RN to BSN nursing program. Which of the following drugs would be included?

Iron dextran, filgrastim, and leucovorin

A client diagnosed with anemia asks what the cause of anemia is. Which is the nurse's best response?

It is caused by a decrease in the number of RBCs.

The nurse educator is teaching students regarding different types of immunostimulant drugs. When discussing lab values associated with the administration of these drugs, which cell counts should the nurse tell the students to expect?

Low platelet and low white blood cell count.

The nurse is teaching a client about megakaryocytes. Which of the following information would the nurse include in the teaching plan?

Megakaryocytes are precursor cells to platelets.

A client is being treated for malignant melonoma and has been prescribed interferon alfa-2b. The client has complex medical history and the medication regimen includes aspirin, furosemide, bisoprolol and levothyroxine. When planning the client's care, what should the nurse prioritize?

Monitor the client's response to the medication and assess for adverse effects.

A client with chronic lymphocytic leukemia has begun treatment with alemtuzumab, a monoclonal antibody. What assessment should the nurse prioritize when monitoring the client for adverse effects?

Pulmonary auscultation

The nurse is reviewing laboratory values of client who has a respiratory illness. Which cells supply oxygen to the tissues?

RBCs

A client comes to the clinic for follow-up for a diagnosis of hypertension. During the intake history, the nurse finds that the client is scheduled for epoetin alfa therapy. Which action will the nurse take?

Report any rise in the blood pressure of 20 mm Hg or more in the systolic or diastolic to the primary care provider.

In reviewing a client's record, the nurse observes that the health care provider suspects a Vitamin B12 deficiency. What test is used to diagnosis a vitamin B12 deficiency?

Schilling test

A client is receiving an IV immune stimulant and develops a cardiac arrhythmia. What is the nurse's priority action?

Stop the drug immediately.

A nurse is assigned to care for a client with iron deficiency anemia who is prescribed iron therapy. Which should the nurse confirm to ensure that iron compounds are not contraindicated in this client?

The client does not have hemochromatosis

A client has undergone bone marrow transplant for the treatment of multiple myeloma. The client has been prescribed filgrastim (Neupogen) 6 mcg/kg IV daily. What outcome should indicate successful medication therapy to the nurse?

The client remains free of infection

A client asks what neutropenia is. Which is the nurse's best response?

a condition when the neutrophil level is very low

A client has a successful liver transplant. The nurse should advise the client prescribed oral cyclosporine to avoid mixing the drug with what form of liquid?

any type of grapefruit juice

A client with chronic renal failure is prescribed darbepoetin alfa. After administering the drug, the nurse would assess the client for which adverse reaction? Select all that apply.

arthralgia rashes hypertension

A client with iron deficiency is prescribed iron dextran. Based on the nurse's understanding of this drug, the nurse would expect to administer it cautiously to a client with which condition?

asthma

A client underwent a solid organ transplant several years ago and has remained largely symptom free. The nurse should educate the client on long-term immunosuppressant therapy of what increased risk?

cancer

A nurse is teaching a client about immunosuppressants. Which common adverse reactions of immunosuppressants should be included in the teaching? (Select all that apply.

chills fever headache

Tacrolimus belongs to what classification of medications?

conventional antirejection agents

A client suffering from anemia resulting from chronic kidney disease might be treated with which drugs?

epoetin alfa

Which are common adverse reactions that is included in teaching a client about epoetin? Select all that apply.

fatigue nausea headache

A client is prescribed which drug that acts on the hematopoietic cells to stimulate proliferation, differentiation, and maturation of white blood cells?

filgrastim

Which foods should a nurse encourage for a client diagnosed with megaloblastic anemia? Select all that apply.

fish whole grains leafy green vegetables

A client is ordered to receive cyclosporine intravenously, and the nurse has explained the need for frequent blood work. This blood work is required because cyclosporine:

has a narrow therapeutic range.

What client assessment finding will have the greatest effect on the half-life of methotrexate therapy?

history of chronic renal impairment

Filgrastim (Neupogen) should be used cautiously in clients with which medical conditions?

hypothyroidism

A client is receiving folic acid for the treatment of megaloblastic anemia. The client tells the nurse that he or she also takes hydantoins. The nurse would monitor the client for which effect due to an interaction with these two drugs?

increased seizure activity

A group of nursing students demonstrate understanding of blood cells when they identify which cell as responsible for controlling the bleeding from microscopic to major tears in our tissues?

megakaryocytes

An older adult woman has experienced a sharp decline in her mobility and quality of life due to severe rheumatoid arthritis. As a result, her care provider has recently prescribed abatacept. This fusion protein inhibitor will achieve a therapeutic effect by what means?

preventing the activation of T cells

A client is to begin treatment for rheumatoid arthritis with infliximab. What potential risk should the nurse identify as being associated with this drug?

risk for infection

Which conditions in a client's history should the nurse report to the health care provider who prescribed epoetin alfa? Select all that apply.

seizures hypertension congestive heart failure

What common adverse reactions of tacrolimus should the nurse teach the client? (Select all that apply.)

tremors hair growth gum hyperplasia

After reviewing information about the use of epoetin alfa (Epogen), the nurse demonstrates understanding of the information by identifying that this drug is contraindicated in clients with which medical conditions?

uncontrolled hypertension

Which of these conditions or lifestyle choices would put clients at risk for developing a B12 deficiency? Select all that apply

vegan lifestyle gastric cancer ulcerative colitis