PrepU Pharm Assignment 24

The nurse educator is teaching an online pharmacology class. The topic of the online seminar is the contraindications for the use of colony stimulation factor. The nurse includes which contraindication?

Known hypersensitivity to the drug or any component of the drug

The nurse is teaching a client about megaloblastic anemia. Which of the following information would the nurse include in the teaching plan?

Megaloblastic anemia is characterized by large immature erythrocytes, due to folic acid deficiency.

A patient with chronic renal failure is prescribed darbepoetin alfa. Which of the following adverse reactions should the nurse closely monitor for in the patient? Select all that apply.

-Arthralgia -Rashes -Hypertension

The nurse is teaching post-administration cardiovascular system reactions to the immunostimulant drug oprelvekin. The nurse would include which cardiovascular system reactions in the client teaching plan?

Arrhythmia resulting in stroke and pulmonary edema

The nurse is addressing with a nursing student the types of treatments to expect when caring for a client with chronic kidney disease. Which of the following would the nurse include in the lesson plan?

Colony stimulating factors are one type of immunostimulant that can boost the diminished cell count caused by chronic kidney failure.

Anemia can result in which of the following?

Decreased platelet production

Which of the following drugs act on the hematopoietic cells to stimulate proliferation, differentiation, and maturation of white blood cells? (Choose one)

Filgrastim (Neupogen)

The process by which the body is stimulated to make more of a specific type of blood cells is known as which of the following? (Choose one)

Hematopoiesis

A client comes to the clinic asking what hematopoiesis means. Which of the following information would the nurse include in the teaching plan?

Hematopoiesis means undifferentiated stem cells are stimulated to become specific blood cells.

A nurse is caring for a patient with altered nutrition with iron deficiency. Which of the following instructions should the nurse offer the patient when providing care?

Increase intake of lean red meats

A client is receiving an IV immune stimulant and develops a cardiac arrhythmia. What is the nurse's priority action?

Stop the drug immediately.

The nurse is caring for a client who has a diagnosis of chronic hepatitis B and has been prescribed an immune stimulant. The client provides patient education. How would the nurse evaluate the effectiveness of the teaching plan?

The patient can state specific measures to avoid adverse effects.

A nurse is assigned to care for a patient with iron deficiency anemia who is prescribed iron compounds. Which of the following should the nurse confirm to ensure that iron compounds are not contraindicated in this patient?

The patient does not have hemochromatosis

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 client is a woman, age 42 years, who returns to the Cancer Treatment Center diagnosed with chemotherapy-induced thrombocytopenia. The nurse knows that the interleukin drug oprelvekin is used to increase platelet production and explains to the client the need for the drug. The client will not sign the informed consent because she doesn't understand why she needs platelets. Which information would the nurse include in the explanation?

"Chemotherapy has caused you to have a low platelet count, which puts you at risk for bleeding. Oprelvekin is used to increase platelet production to decrease the risk."

The nurse is teaching a novice nurse hire how to administer colony-stimulating factors. It is important to include which of the following information?

"Colony-stimulating factors are fragile and must be mixed before administration."

A patient suffering from anemia resulting from chronic kidney disease might be treated with which of the following drugs? (Choose one)

Epoetin alfa (Epogen)

A client 72 years of age 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."

The nurse learns that a client in a clinic is taking folic acid to treat an associated anemia. The client decided to go on a fasting diet for the last two weeks to lose weight before her daughter's wedding. How would the nurse explain the importance of staying on the diet that the provider prescribed last month?

"The prescribed diet and drug are necessary to correct anemia associated with folic acid deficiency."

After a client age 65 years diagnosed with vitamin B12 deficiency learns about the use of the vitamin, she asks the nurse what caused her B12 deficiency anemia. Which of the following statements would the nurse use when teaching the client about vitamin B12?

"You have a deficiency because you are on a strict vegan diet."

Which of the following types of cells supply our cells with oxygen from the lungs? (Choose one)

Erythrocytes

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

Avoid contact with infection.

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

A freshman nursing student is preparing to administer an antibiotic to a client in a clinic, 22 years of age, diagnosed with iron deficiency anemia. The client takes oral iron supplements daily. The lead nurse supervising the student stops to teach which of the following important interactions when iron and antibiotics are used together for treatment?

Iron causes a decreased gastrointestinal absorption of the antibiotic.

The nurse is creating a public education blog for a health media company. The topic is megaloblastic anemia. Which of the following is an important food choice that the nurse would include on the public education website?

It is important to eat foods high in protein.

The nurse is assessing a client during a home health visit. The client asks how interferon works. The nurse should inform the client that interferon works by:

controlling cellular proteins.