Chapter 11 NCLEX-Style Review Questions
An adult client has been diagnosed with ischemic heart disease and a family member has asked for information about the action of G-CSF drugs. Which response best answers request for information?
"The drug apparently promotes blood vessel growth around blocked areas in coronary arteries."
Which process is cytokine-induced?
1. Inflammation 2. Tissue repair 3. Cellular differentiation 4. Antibody production
What are the primary factors that contribute to the body's ability to fight off infection?
1. Normal immune system function 2. Normal hematopoiesis 3. Normal cardiovascular function
A client's medication history reveals that he has been previously treated with aldesleukin. The nurse should know that this client likely has a history of what form of cancer?
1. metastatic kidney cancer 2. metastatic melanoma skin cancer
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.
Which client is most likely to benefit from treatment with interferon beta?
a 51-year-old woman being treated for multiple sclerosis
The nurse will appraise the success or failure of treatment of filgrastim therapy by regularly monitoring the results of what diagnostic test?
absolute neutrophil count
A client is suspected of having impaired erythropoiesis. This client is most likely to exhibit signs and symptoms associated with what health problem?
anemia
A client, diagnosed with chronic renal failure, has begun experiencing increasing shortness of breath. The nurse suspects that the client is experiencing symptoms associated with which resulting condition?
anemia
A client has been receiving regular doses of epoetin alfa for several weeks, and the home care nurse has been monitoring the client's condition closely. When taking the client's vital signs, the nurse should pay particular attention to what assessment datum?
blood pressure
What is the role of interferons in the normal function of the immune system?
countering the replication and spread of viruses
An older adult client diagnosed with chronic renal failure has begun experiencing increasing fatigue. The nurse would anticipate educating the client on what likely medication prescription?
epoetin alfa
A client has been diagnosed with genital warts. Which medication would the nurse anticipate being ordered?
interferon alfa-2b
A client diagnosed with chronic renal failure is being treated with epoetin alfa in the home setting. The community health nurse should encourage the client to maintain a high intake of which foods in his or her diet to supple the intended action of the medication?
red meat & leafy green vegetables
A client, currently prescribed epoetin alfa, has recent blood work that reveals a hemoglobin level of 12.8 g/dL. What action does this assessment finding necessitate regarding the epoetin alfa?
temporarily withholding administration