prepu immunomodulating drugs

A 72-year-old client has been diagnosed with iron deficiency anemia. The client comes to the clinic for the nurse to teach the recommended way to take the iron supplement. Which of the following information would the nurse include in the client's teaching plan?

"Take this drug with water on an empty stomach."

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."

A nurse is caring for a client with a diagnosis of cancer. The nurse is teaching the client about medications to treat cancer, including erythropoiesis-stimulating agents. Which statement by the client is correct regarding how these medications work?

"They regulate the production of erythrocytes."

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.

The nurse is caring for diverse group of clients. Which client is most likely to benefit from the administration of cyclosprorine?

A client with chronic renal failure who is recovering from a kidney transplant

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

The nurse is discussing adverse reactions involving the cardiovascular system after administration of oprelvekin. The nurse would include which reactions in the client teaching plan?

Arrhythmia

A client comes to the clinic to learn about pernicious anemia. What would the nurse include in the lesson plan?

Avoid contact with infectious disease.

A female client 50 years of age has a history of an allergy to cyanocobalamin. Based on the history, the nurse knows which of the following vitamins is contraindicated?

B12

What are common nursing diagnoses for a client diagnosed with cancer? (Select all that apply.)

Fatigue Risk for infection Imbalanced nutrition

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.

The nurse is providing education to clients who are required to take B12 due to deficiency anemia. The nurse should discuss the role of which body substance responsible for absorption of this vitamin?

Intrinsic factor

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.

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.

A nurse is teaching a client about an iron supplement. Which should be included in the teaching a client about this medication?

It should be taken on an empty stomach.

A client is prescribed filgrastim. Which is the nurse's <b>best</b> explanation of how this drug works?

It stimulates growth and production of WBCs to fight off infection.

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.

A client who is receiving an immune suppressant has been admitted to the hospital unit. What action should the nurse prioritize?

Place the client on protective isolation.

A client is to receive oprelvekin after chemotherapy. What is the priority nursing assessment to evaluate the drug's effectiveness?

Platelet count

To help understand immunostimulant drug therapy, the client has come to the clinic for a class on thrombopoiesis. The nurse explains that the term means the formation of which types of blood cells?

Platelets

The nurse is providing care for a client whose current medications include tacrolimus. The nurse should anticipate that this client is likely to be taking what medication concurrently?

Prednisone

A client on the transplant unit is taking cyclosporine after receiving a liver transplant 4 days earlier. A coworker of the client has come for a visit and is apologetic because of a cough and runny nose. What is the nurse's best action?

Teach the visitor about the client's risk for infection and ask the visitor to return after becoming healthy

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.

The nurse has administered a client's prescribed daily dose of filgrastim. When assessing for a therapeutic effect, what laboratory finding should the nurse prioritize?

White cell differential

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 is diagnosed with anemia. The nurse understands that anemia can result in which effect?

decreased platelet production

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

epoetin alfa

A nurse is describing the process by which the body is stimulated to make more of a specific type of blood cells. The nurse is describing which process?

hematopoiesis

Oprelvekin is a drug that stimulates the process of making which blood cells?

platelets

Mycophenolate mofetil is being considered in the treatment of a 39-year-old female transplant recipient. Before the initiation of therapy, the nurse must assess the client for what information to ensure safety?

the fact that the client is not pregnant

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