PREPU PHARM CH9
The clinic nurse receives a call from a client who has been taking interferon alfa for 7 days. The client states that he has become very sad and wonders if life is worth living. What is the best response by the nurse to this client?
"Come to the clinic as soon as possible."
A nurse has taught a patient about filgrastim (Neupogen) and epoetin alfa (Epogen) administration. Which patient statement indicates teaching was effective?
"I should tell my healthcare provider if I feel depressed."
The nurse is teaching a patient receiving epoetin alfa about the drug. The nurse informs the patient that he will receive the drug at which frequency?
3 times a week
Which of the following patients will be at the greatest risk for anemia and would be the most likely candidate for epoetin alfa therapy?
A 62-year-old male with cancer
The pharmacology instructor is talking about interferon. The instructor explains that agents such as interferons have more than one biologic function. What are the functions of interferons?
All of the above
A patient with chronic renal failure receiving epoetin alfa will be having a total left hip arthroplasty. What supplementation should the patient receive prior to surgery?
An iron supplement
A patient has and elevated white blood cell (WBC) count. What is the nurse's primary action related to this finding?
Assess the patient for other signs of infection.
Which of the following would be appropriate for a client who is receiving iron therapy?
Cautioning the client that stool may be dark or green
The nursing instructor is talking with a student about erythropoietin drug therapy. What is an adverse effect of erythropoietin drug therapy that the instructor would tell the student about?
Edema
The patient with chronic renal failure requires an agent to increase red blood cell production. What drug does the nurse anticipate administering?
Epoetin alfa
Prior to administration of an iron preparation what should a nurse assess?
Hematocrit and hemoglobin
The nurse is caring for a client who has been receiving filgrastim. The nurse expects to perform which action concerning this drug on the day prior to the client's chemotherapy treatment?
Hold the medication
A patient has been prescribed epoetin alfa. In reviewing this patient's history what would the nurse know contraindicates the use of epoetin alfa?
Hypertension
The nurse administers epoetin alfa (Epogen). What is the therapeutic response the nurse expects to assess?
Increased red blood cell count
Which of the following would a nurse identify as the primary issue associated with anemias?
Ineffective red blood cells
Your client has been diagnosed with genital warts. Which of the following medications would you anticipate being ordered?
Interferon alfa-2b
Your client has been diagnosed with genital warts. Which of the following medications would you anticipate being ordered?
Interferon alfa-2b Interferon alfa-2b is approved for the treatment of genital warts (condylomata) associated with infection by human papillomavirus, non-Hodgkin's lymphoma, and malignant melanoma.
A male client is self-administering epoetin in the home. The nurse encourages him to include what supplements as part of his daily medication regimen?
Iron
You are caring for a client who is receiving epoetin alfa. What adjunct treatment will you expect the physician to order for this client?
Iron supplement
The anemia that occurs with chronic renal failure is caused by the kidneys themselves. What inability of the kidney disease causes anemia in chronic renal failure?
Produce erythropoietin
The nurse is caring for a female client in the home. The client is prescribed filgrastim. What would be included in the nurse's education plan?
Techniques to reduce exposure to infection
Which patient should not receive epoetin alfa (Epogen) as ordered at 9 am?
The patient who has a blood pressure of 240/120 mm Hg
A male client is prescribed interferon. What is his probable diagnosis?
Viral hepatitis
To evaluate immune function, the nurse should look most closely at which laboratory value?
WHITE BLOOD CELLS
Ms. Ziem is prescribed filgrastim. The nurse provides education to Ms. Ziem about this therapy. Which statement would indicate the patient understood the teaching?
"I will avoid crowds and people with illnesses."
