Pharm Ch 49
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."
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 repond?
"The hematopoietic system is composed of fluid, red blood cells, white blood cells, and platelets."
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
The nurse is teaching a nursing student about anemia and knows that it is important to start by explaining the causes of anemia. Which of the following statements are true about the cause of anemia?
Anemia is a condition caused by reduced amounts of hemoglobin, causing less oxygen to be delivered to the tissues.
The nurse is teaching a nursing student about anemia and knows that it is important to include why anemia occurs. Which of the following statements are true about why anemia occurs?
Anemia occurs due to chronic illnesses or specific deficiencies such as iron.
The home care nurse is caring for a client who is self-administering epoetin. What assessment is most important for the nurse to complete during the visit?
Blood pressure
A patient is to be administered an erythropoiesis-stimulating agent. Which of the following drugs would the nurse administer?
Epoetin alfa
A client comes to the clinic asking what erythropoiesis means. Which of the following information would the nurse include in the teaching plan?
Erythropoiesis means the process of making red blood cells.
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
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
A client who was diagnosed with iron deficiency anemia is worried because she does not know why she was prescribed iron supplements. The nurse teaches the client about which of the following actions of oral iron administration?
Iron acts by elevating the serum iron concentration to replenish hemoglobin to treat anemia.
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
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
A student nurse is caring for a client who is receiving a hematopoietic agent. To test the student's understanding, the nursing instructor asks by what route the drug could be administered. What route would the student accurately reply?
These drugs can be give by the SC or IV routes
A male client is diagnosed with severe neutropenia. The physician prescribes filgrastim. What is the desired effect?
To increase white blood cells
A nursing instructor is teaching students about the myelin sheath of the central nervous system (CNS). The nurse knows that teaching has been effective when a student identifies which of the following vitamins as necessary for the formation of the myelin sheath in the CNS?
Vitamin B12
When administering iron injections, which of the following methods would the nurse use?
Z-track intramuscular
Which of the following would a nurse identify as a contraindication for iron therapy? Select all that apply.
• Hemolytic anemia • Peptic ulcer disease • Colitis