Blood Cancer + Hematological Disorders (PrepU)
A client is experiencing flu-like symptoms related to immune stimulant therapy. Which instructions would be most appropriate for the client?
"Drink plenty of fluids throughout the day."
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."
What client would be most likely to benefit from treatment with filgrastim (Neupogen)?
A client who has recently undergone bone marrow transplant to treat leukemia
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?
B and C (SC and IV)
The client is a 39-year-old male seen in the clinic for anemia. The nurse knows that ESAs are drugs used to treat anemia associated with which conditions? (Select all that apply.)
Chronic kidney disease Chemotherapy for cancer treatment AZT therapy for HIV Postsurgical blood replacement in place of allogenic transfusions
In addition to autoimmune disorders, immunosuppressant medications are used to treat which disorder?
Crohn's disease
Which would the nurse expect to administer orally?
Cyclosporine
A male client is status post-kidney transplantation; he also has impaired liver function. What would the nurse expect the health care provider to do regarding the loading dose of sirolimus?
Follow existing dosing guidelines
Deficiencies in folic acid are noticed first in rapidly growing cells, such as those in which areas? (Select all that apply.)
Gastrointestinal (GI) tract Bone marrow Cancerous tissues
After teaching a group of students about immune modulators, the instructor determines that additional teaching is needed when the students identify what as an immune suppressant?
Interferon alfa-2b
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.
After 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?
Pernicious anemia
What disorder of the immune system may affect both the skin and the joints?
Psoriasis
A client has been placed on tacrolimus, and the route will be changed from IV to oral prior to discharge home from the hospital. How will this change in administration route affect the client's plan of care?
The client's dose of tacrolimus will have to be increased.
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?
This drug is destroyed by acids found in the stomach.
The action of immune stimulants ultimately results in the development of flu-like symptoms as adverse effects.
True
A client diagnosed with anemia asks what the cause of anemia is. Which is the nurse's <b>best</b> response?
caused by a decrease in the number of RBCs.
The nurse monitors the client receiving eculizumab for what serious potential adverse effect?
hemolysis
A group of students are reviewing information about immune modulators in preparation for a test. The students demonstrate understanding of the material when they identify what as an immune stimulant?
interferon
A client has been diagnosed with genital warts. Which medication would the nurse anticipate being prescribed?
interferon alfa-2b
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:
iron levels
The nurse is caring for a client who is receiving epoetin alfa. What adjunct treatment will the nurse expect the health care provider to order for this client?
iron supplement
A 34-year-old man is prescribed interferon alfa-2a for the treatment of chronic hepatitis C. When teaching John about the medication, which side effect will the nurse explain is among the most common?
nausea and changes in taste
A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to:
schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks.
The nurse closely monitors a client who is receiving anakinra and etanercept for:
severe infection
Cyanocobalamin is a vitamin B12 in a nasal formulation.
true
The component of the red blood cell that is not recycled is bilirubin.
true
Histology testing has revealed that many of a client's cancer cells are in the M phase of cell division. The nurse explains to the client that this phase will result in:
two identical daughter cells.
A male client is prescribed interferon. What is his probable diagnosis?
viral hepatitis
