Deck 32: Drugs for Hematopoietic Disorders

Question 1

Which information should the nurse include in the teaching for a client prescribed ferrous sulfate (Feosol) tablets?

A) Take this prescription with milk.
B) Take this prescription before bedtime.
C) Take this prescription with orange juice.
D) Take this prescription with meals.

Answer 1

Take this prescription with orange juice.

Question 2

The nurse has provided education for a client prescribed oprelvekin (Neumega). Which statement made by the client indicates an understanding of the information?

A) "This prescription will help my chemotherapy work better."
B) "This prescription will help increase my platelet count."
C) "This prescription will help me regain the weight I have lost."
D) "This prescription will help increase my red blood cell count."

Answer 2

"This prescription will help increase my platelet count."

Question 3

A pregnant client prescribed cyanocobalamin (Nascobal) asks if the prescription will hurt her baby. Which response should the nurse provide the client?

A) "This prescription is safe if taken in the form of a pill during pregnancy."
B) "This prescription is safe during pregnancy."
C) "The prescription is safe in the third trimester of pregnancy."
D) "The prescription is safe when administered as an injection."

Answer 3

"This prescription is safe during pregnancy."

Question 4

Which contributes to the regulation of hematopoiesis?

A) White bone marrow
B) Hematopoietic stem cells
C) Hormones
D) Essential vitamins and nutrients

Question 5

A client receiving ferrous sulfate (Feosol) tells the nurse they are experiencing constipation. Which intervention should the nurse recommend?

A) Laxatives
B) Increase fluids and high fiber foods in the diet
C) Self-administer Fleet® enemas
D) Increase exercise

Question 6

A client asks the nurse how epoetin alfa (Procrit) is related to their chemotherapy. Which response should the nurse provide?

A) "This prescription is administered to enhance the effectiveness of the chemotherapy."
B) "This prescription helps to counteract the nausea and vomiting caused by chemotherapy."
C) "This prescription will stimulate the immune system to help kill the cancer cells."
D) "This prescription will help prevent anemia that can be caused by your chemotherapy."

Question 7

Which describes the primary actions of Filgrastim (Granix)?

A) Increases neutrophil production
B) Increases the production of basophils
C) Enhances cytotoxic function of the neutrophil
D) Enhances phagocytic activity of the neutrophil
E) Enhances the action of the basophils

Question 8

Which describes the classification system for anemias?

A) Based on the shape of erythrocytes
B) Based on the size and color of the erythrocytes
C) Based on the number of erythrocytes present
D) Based on the amount of oxygen carried by the erythrocytes

Question 9

The nurse is reviewing the medical history for a client prescribed oprelvekin (Neumega). Which condition should the nurse be concerned about?

A) Liver disease
B) Asthma
C) Diabetes mellitus
D) Renal disease

Question 10

Which describes the nurse's understanding of the purpose for choosing the names for the colony-stimulating factors?

A) Named according to the interleukins they stimulate
B) Named according to the type of blood cells they stimulate
C) Named according to the type of neurotransmitters that are stimulated
D) Named according to the type of hormones they stimulate

Question 11

A client receiving cyanocobalamin (Nascobal) with a history of a gastrectomy tells the nurse that they have stopped taking the prescription months ago. Which assessment findings should the nurse anticipate?

A) Memory loss, numbness in the limbs, and depression
B) A gradual decrease in red blood cell counts
C) Jaundice and tarry stools
D) Low hemoglobin and hematocrit counts

Question 12

A client asks the nurse how epoetin alfa (Epogen) will help their anemia. Which response should the nurse provide the client?

A) "This prescription prevents the destruction of the red blood cells."
B) "The prescription stimulates your body to make red blood cells."
C) "This prescription contains red blood cells."
D) "This prescription increases the iron binding capacity of the red blood cells."

Question 13

The nurse reviewing a client's record notes the morphology of the client's erythrocytes is reported to be microcytic-hypochromic. Which anemia should the nurse associate with the morphology?

A) Pernicious anemia
B) Iron-deficiency anemia
C) Sickle-cell anemia
D) Hemolytic anemia

Question 14

Which should the nurse anticipate to be included in the client's treatment plan during the intravenous sargramostim (Leukine)?

A) ECG monitoring
B) Insertion of indwelling urinary catheter
C) Administration of oxygen
D) Administration of an antiemetic

Question 15

A client asks the nurse why the healthcare provider has prescribed darbepoetin alfa (Aranesp) instead of epoetin alpha (Epogen). Which response should the nurse provide the client?

A) "Darbepoetin alfa has less side effects."
B) "Darbepoetin alfa is more effective."
C) "Darbepoetin alfa has a longer duration of action."
D) "Darbepoetin alfa is less expensive."

Question 16

Which is most important for the nurse to monitor a client receiving erythropoiesis-stimulating agents?

A) Thromboembolism
B) Transient ischemic attack
C) Myocardial infarction
D) Cerebral vascular accident

Question 17

A client with chronic alcoholism asks the nurse why they should take folic acid. Which response should the nurse provide the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "The alcohol decreases your folic acid level."
B) "The alcohol interferes with folate metabolism in the liver."
C) "The folic acid will improve your vitamin B12 deficiency."
D) "Your dietary intake of folic acid is decreased when you drink alcohol."
E) "The folic acid can help reverse some of the liver damage that has occurred from the alcohol abuse."

Question 18

Which is the priority nursing assessment for a client prescribed epoetin alfa (Epogen)?

A) Blood pressure
B) Temperature
C) Oxygen saturation
D) Apical pulse

Question 19

The educator is reviewing red blood cell formation with a nurse. Which statement made by the nurse indicates an understanding?

A) "Red blood cell formation is regulated through chemicals called colony-stimulating factors."
B) "Red blood cell formation is regulated through messages from the hormone secretin, which is located in the kidney."
C) "Red blood cell formation is regulated through specific liver enzymes and a process called hemochromatosis."
D) "Red blood cell formation is regulated through messages from the hormone erythropoietin."

Question 20

The nurse has provided education for a client with iron-deficiency anemia. Which statement made by the client indicates further teaching is required?

A) "Most iron in our bodies is stored on hemoglobin in the red blood cell."
B) "Transferrin is a protein that transports iron to places in our bodies where it is needed."
C) "We need extra iron because when the red blood cells die, all their iron is excreted from the body."
D) "The most common cause of nutritional anemia is iron deficiency."

Question 21

Which time frame in conjunction with chemotherapy should the nurse administer prescribed Filgrastim (Neupogen)?

A) Twenty-four hours prior to the chemotherapy
B) At the time of the chemotherapy infusion
C) Immediately following the chemotherapy
D) Immediately before the chemotherapy

Question 22

After reviewing a client's blood work, the nurse suspects the client is experiencing iron-deficiency anemia. Which questions should the nurse ask the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Have you had a significant dietary change in the last 6 months?"
B) "Do you handle chemicals in your new job?"
C) "Have your stools changed in appearance?"
D) "Have you been eating more carbohydrates than usual?"
E) "Are your menstrual periods heavier than normal for you?"

Question 23

Which route of administration should the nurse anticipate the prescribed vitamin B12 to be administered for the client with pernicious anemia?

A) Intravenous
B) Oral
C) Intramuscular
D) Nasal inhalation

Question 24

The nurse is preparing to teach a client how to self-administer an erythropoiesis-stimulating drug. Which instruction should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Shake the vial to mix the contents before use."
B) "Draw up what is needed and discard the rest of the vial."
C) "Place your stock of medication in your refrigerator."
D) "Warm the vial in your hand a few minutes before drawing up the medication."
E) "Give the medication deeply into a muscle."

Question 25

Which prescription should the nurse anticipate to administer to a client with acute iron intoxication?

A) Folic acid
B) Deferoxamine (Desferal)
C) Blood transfusion
D) Cyanocobalamin (Nascobal)

Question 26

Which assessment findings indicate the treatment for a client prescribed an erythropoiesis-stimulating factor is successful? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) The client's hemoglobin is increased.
B) The client reports less shortness of breath on exertion.
C) The client has not had an episode of epistaxis in over 3 weeks.
D) The client reports enjoying a light exercise.
E) The client has not had a fever since treatment began.

Question 27

Which should the nurse consider when administering an injection of ferrous sulfate intramuscularly to a client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Give the injection in the deltoid muscle.
B) Iron is best absorbed if given subcutaneously.
C) Iron is irritating to the tissues.
D) The z-track method should be used.
E) Iron preparations should be administered through a needle gauge 16 or larger.

Question 28

Which affect does colony-stimulating factors have on the body?

A) Stimulate platelet production
B) Stimulate white blood cell production
C) Stimulate red blood cell production
D) Stimulate stem cells production

Question 29

Which is the initial origin for the development of erythrocytes?

A) Megakaryocyte
B) Myeloid stem cell
C) Lymphoid stem cell
D) Colony-stimulating factors