Term
| The client receives epoetin alfa (Epogen) subcutaneously, and says to the nurse, “My doctor said I have anemia. Are there little red blood cells in that shot?” What is (are) the best response(s) by the nurse? Select all that apply. |
|
Definition
“It is similar to a kidney hormone, erythropoietin, and helps your body make more red blood cells.”
“Your kidney makes more erythro-poietin if it doesn’t get enough oxygen.”
“Erythropoietin also helps your body make hemoglobin.” |
|
|
Term
| The nurse is teaching a class on how red blood cell formation is regulated by the body to a group of clients who have AIDS. The nurse evaluates that learning has occurred when the clients make which statement(s)? Select all that apply. |
|
Definition
“Red blood cell formation is regulated through chemicals called colony-stimulating factors that come from white blood cells.”
“Red blood cell formation is regulated through messages from the hormone erythropoietin.” |
|
|
Term
| 3 The client receives chemotherapy as therapy for cancer. The physician orders epoetin alfa (Procrit) subcu¬taneously. The client asks the nurse if this drug is also chemotherapy. What is the best response by the nurse? |
|
Definition
| “No, this drug will help prevent anemia that can be caused by your chemotherapy.” |
|
|
Term
| The client receives filgrastim (Neupogen). He asks the nurse “That is such a funny name; where do you suppose it comes from?” What is the best response by the nurse? |
|
Definition
| “It comes from the blood cell it stimulates; this one stimulates neutrophils.” |
|
|
Term
| The client is receiving ferrous sulfate (Feosol) for the treatment of anemia. The nurse has taught the client about this drug and about anemia. The nurse evaluates that learning has occurred when the client makes which statement? |
|
Definition
| “My anemia was caused by blood loss from my ulcer, but there are other causes too.” |
|
|
Term
| The client had stomach cancer and a surgical removal of his stomach several years ago. The physician prescribed cyanocobalamin (Crystamine). The client stopped this drug several years ago. What will the nurse most likely assess in this client? |
|
Definition
| Memory loss, numbness in the limbs, and depression |
|
|
Term
| The client has chronic alcoholism. He asks the nurse why his doctor put him on folic acid (Folvite) since he promised the doctor that he would stop drinking. What is the best response by the nurse? |
|
Definition
| “You have been drinking instead of eating, and alcohol interferes with folate metabolism in your liver.” |
|
|
Term
| The nurse teaches a class on iron-deficiency anemia to a group of pregnant clients who are all taking ferrous sulfate (Feosol). The nurse evaluates that additional learning is needed when the clients make which statement? |
|
Definition
| “We need extra iron because when our red blood cells die, all their iron is excreted from the body.” |
|
|
Term
| The physician has prescribed epoetin alfa (Epogen) for the client. What is the priority assessment by the nurse? |
|
Definition
| The client’s blood pressure |
|
|
Term
| The physician has ordered filgrastim (Neupogen) intravenously for the client. What is a priority plan by the nurse prior to administering this drug? |
|
Definition
| Plan to monitor the client’s ECG readings. |
|
|
Term
| The client is pregnant and has been told by her physician that she needs cyanocobalamin (Crystamine). She asks the nurse, “Will this hurt my baby?” What is the best response by the nurse? |
|
Definition
| “No, this is safe as long as long as you take it in pill form; it is a Pregnancy Category A drug, which means it is safe for your baby.” |
|
|
Term
| A small child has been diagnosed with iron deficiency anemia, and has a very low level of iron. What will the nurse most likely assess in this child? |
|
Definition
| Difficulty in performing age-related psychomotor tasks. |
|
|
Term
| The client is receiving chemotherapy for cancer. The physician has prescribed oprelvekin (Neumega). The nurse has completed medication education and evaluates it as effective when the client makes which statement? |
|
Definition
| “This medication will help increase my platelet count.” |
|
|
Term
| The client calls the nurse and is very frantic. “I think something is wrong! My stools are black and they have never been this color before!” The client is receiving ferrous sulfate (Feosol). What is the best response by the nurse? |
|
Definition
| “This is an expected side effect of ferrous sulfate (Feosol); it is okay.” |
|
|
Term
| he process for regulating hematopoiesis occurs via: |
|
Definition
|
|
Term
| Colony-stimulating factors (CSFs) are named according to: |
|
Definition
| Type of blood cell stimulated. |
|
|
Term
| In monitoring clients receiving hematopoietic agents, it is most important for the nurse to monitor for: |
|
Definition
|
|
Term
| To decrease gastric irritation, anti-anemia medications, such as ferrous sulfate (Ferosol), should be taken with: |
|
Definition
|
|
Term
| The mechanism of action of colony-stimulating factors, such as filgrastim (Neupogen), is to: |
|
Definition
| Increase neutrophil production. |
|
|
Term
| Per classification of anemias, the morphology for pernicious anemia or folate-deficiency anemia results in: |
|
Definition
| Macrocytic–normochromic erythrocytes. |
|
|
Term
| Per classification of anemias, the morphology for pernicious anemia or folate-deficiency anemia results in: |
|
Definition
| Macrocytic–normochromic erythrocytes. |
|
|
Term
| An important nursing consideration in caring for a client who is receiving anti-anemia therapy is history of: |
|
Definition
|
|
