Deck 53: Anemia Drugs

Question 1

Define the following Term:
Erythrocytes

Answer 1

Another name for red blood cells (RBCs).

Question 2

Define the following Term:
Erythropoiesis

Answer 2

The process of erythrocyte production.

Question 3

Define the following Term:
Globin

Answer 3

The protein part of the hemoglobin molecule (see later); the four different structural globin chains most often found in adults are the alpha1, alpha2, beta1, and beta2 chains.

Question 4

Define the following Term:
Hematopoiesis

Question 5

When administering oral iron tablets, the nurse should keep in mind that the most appropriate substance, other than water, to give with these tablets is

A)pudding.
B)an antacid.
C)milk.
D)orange juice.

Question 6

Define the following Term:
Heme

Question 7

The nurse is teaching a patient about oral iron supplements. Which statement is correct?

A)"You need to take this medication on an empty stomach or else it won't be absorbed."
B)"It is better absorbed on an empty stomach, but if that causes your stomach to be upset, you can take it with food."
C)"Take this medication with a sip of water, and then lie down to avoid problems with low blood pressure."
D)"If you have trouble swallowing the tablet, you may crush it."

Question 8

Define the following Term:
Microcytic

Question 9

The nurse is administering an intravenous dose of iron dex- tran. For which potential adverse effect is it most important for the nurse to monitor at this time?

A)Anaphylaxis
B)Gastrointestinal distress
C)Black, tarry stools
D)Bradycardia

Question 10

Define the following Term:
Pernicious anemia

Question 11

The nurse is assessing a patient who is to receive folic acid supplements. It is important to rule out which condition before giving the folic acid?

A)Malabsorption syndromes
B)Pernicious anemia
C)Tropical sprue
D)Pregnancy

Question 12

A patient with renal failure has severe anemia, and there is an order for darbepoetin (Aranesp). As the nurse assesses the patient, which condition listed will the nurse consider a con- traindication to use of this medication?

A)Uncontrolled hypertension b. Diabetes mellitus c. Hypothyroidism
D)Angina

Question 13

When iron sucrose is administered, which nursing interven- tions are correct? (Select all that apply.)

A)Administer a test dose before giving the full dos
E)
B)Give via deep intramuscular injection into a large muscle mass using the Z-track metho
D)
C)Administer large doses over 2.5 to 3.5 hours, intravenously.
D)Monitor the patient for hypertension.
E)Monitor the patient for hypotension.

Question 14

The order reads: "Give epoetin alfa (Epogen), 3500 units sub- cut, three times a week." The medication is available in a vial that contains 4000 units/mL. How many milliliters will the nurse draw up for the ordered dose? Round to hundredths.

Question 15

Define the following Term:
Hemoglobin

Question 16

Define the following Term:
Hemolytic anemias

Question 17

Define the following Term:
Hypochromic

Question 18

Define the following Term:
Reticulocytes

Question 19

Define the following Term:
Spherocytes