Pharm Exam 3 PrepU Anemia

C. Folic acid deficiency anemia occurs because of a dietary lack of folic acid, a component necessary in the formation of red blood cells.

A client 19 years of age who is a drug addict comes to the emergency department reporting extreme fatigue and shortness of breath. The nurse assesses the client and, after taking a complete history, determines that the client has malnutrition. The nurse knows that malnutrition can cause which type of anemia? A. Pernicious anemia occurs because of a dietary lack of folic acid, a component necessary in the formation of red blood cells. B. Iron deficiency anemia occurs because of a dietary lack of folic acid, a component necessary in the formation of red blood cells. C. Folic acid deficiency anemia occurs because of a dietary lack of folic acid, a component necessary in the formation of red blood cells. D. Anemia in chronic kidney disease occurs because of a dietary lack of folic acid, a component necessary in the formation of red blood cells.

D. red blood cells.

A client comes to the clinic asking what erythropoiesis means. The nurse would state that erythropoiesis is the process of making: A. stem cells. B. platelets. C. white blood cells. D. red blood cells.

B. Iron supplementation

A client is receiving epoetin alfa for anemia. Which adjunctive therapy is imperative with epoetin alfa? A. Sodium restriction B. Iron supplementation C. Renal dialysis D. Potassium supplements

A. CBC

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? A. CBC B. AST C. C-reactive protein D. ALT

D. Renal failure

A patient has been prescribed epoetin alfa. The nurse recognizes that this medication is indicated for treatment of anemia associated with which disease process? A. Heart failure B. Lung failure C. Liver failure D. Renal failure

C. Vitamin B12

A patient has pernicious anemia. The nurse understands that this patient cannot absorb which vitamin? A. Vitamin D B. Vitamin B6 C. Vitamin B12 D. Vitamin C

D. Increased red blood cell count

The nurse administers epoetin alfa (Epogen). What is the therapeutic response the nurse expects to assess? A. Elevated white blood cell count B. Increased resistance to infection C. Elevated heart rate D. Increased red blood cell count

B. "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? A. "The hematopoietic system is composed of fluid, red blood cells, white blood cells, and fibrinogen." B. "The hematopoietic system is composed of fluid, red blood cells, white blood cells, and platelets." C. "The hematopoietic system is composed of fluid, red blood cells, white blood cells, and fibrosis." D. "The hematopoietic system is composed of fluid, red blood cells, white blood cells, and fibrin."

C. 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? A. 8 mg/dL B. 10 mg/dL C. 12 g/dL D. 14 mg/dL

D. Cautioning the client that stool may be dark or green

Which would be appropriate for a client who is receiving iron therapy? A. Advising the client to limit the amount of fiber in his diet B. Ensuring that the client consumes three large meals per day C. Encouraging the client to take the drug on an empty stomach D. Cautioning the client that stool may be dark or green