Question 1

The physician has prescribed epoetin alfa (Epogen)for the client.What is the priority assessment by the nurse?

Accepted Answer

A

Question 2

The client is pregnant and has been told by her physician that she needs cyanocobalamin (Nascobal).She asks the nurse,"Will this hurt my baby?" What is the best response by the nurse?

Accepted Answer

B

Question 3

Colony-stimulating factors (CSFs)are named according to

Accepted Answer

Colony-stimulating factors (CSFs) are named according to the type of blood cell they stimulate. For example, granulocyte-colony stimulating factor (G-CSF) stimulates the production of granulocytes, while macrophage-colony stimulating factor (M-CSF) stimulates the production of macrophages.

Question 4

To decrease gastric irritation,anti-anemia medications,such as ferrous sulfate (Ferosol),should be taken with

Accepted Answer

Taking anti-anemia medications with food can help decrease gastric irritation.

Question 5

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?

Accepted Answer

Filgrastim (Neupogen) is a medication that stimulates the production of neutrophils, a type of white blood cell. Therefore, option B is the best response as it directly relates to the drug's mechanism of action. Option A is incorrect because filgrastim does not stimulate neuocytes, and option C is incorrect because filgrastim does not stimulate stem cells such as filgrastims. Option D is not a helpful response as it does not provide any useful information to the client.

Question 6

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 statements? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The correct statement is that red blood cell formation is regulated through messages from the hormone erythropoietin. Colony-stimulating factors are involved in regulating the production of white blood cells, not red blood cells. Secretin is a hormone involved in regulating digestion, not red blood cell formation. Hemochromatosis is a genetic disorder that causes iron overload in the body but is not directly involved in regulating red blood cell formation. Apolipoproteins are involved in transporting lipids in the blood, not regulating red blood cell formation.

Question 7

Per classification of anemias,the morphology for pernicious anemia or folate-deficiency anemia results in

Accepted Answer

Pernicious anemia or folate-deficiency anemia both result in macrocytic-normochromic erythrocytes, meaning that the red blood cells are larger than normal (macrocytic) but have a normal amount of hemoglobin (normochromic).

Question 8

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?

Accepted Answer

Chronic alcoholism can cause malnutrition, which can lead to folate deficiency. Folic acid supplementation can help replenish folate stores in the body. Additionally, alcohol can interfere with the metabolism of folate in the liver. Therefore, the nurse's response should be focused on educating the client about the reasons for folic acid supplementation related to his chronic alcoholism. Option A does not provide useful information, Option C is correct but does not provide the specific reason for folic acid supplementation, and Option D makes assumptions about the client's compliance without addressing the specific reason for folic acid supplementation.

Question 9

The client receives chemotherapy as therapy for cancer.The physician orders epoetin alfa (Procrit)subcutaneously.The client asks the nurse if this drug is also chemotherapy.What is the best response by the nurse?

Accepted Answer

Epoetin alfa (Procrit) is a drug that stimulates the production of red blood cells, which can decrease during chemotherapy, leading to anemia. Therefore, it is prescribed to prevent anemia caused by chemotherapy. It does not work with or counteract chemotherapy, stimulate the immune system, or prevent nausea and vomiting caused by chemotherapy.

Question 10

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?

Accepted Answer

This statement is incorrect. Iron is not excreted from the body when red blood cells die. Instead, iron is recycled and reused to make new red blood cells. The other statements are all correct and demonstrate understanding of iron-deficiency anemia and the role of iron in the body.

Question 11

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?

Accepted Answer

Choice A accurately identifies that anemia can have various causes, including blood loss from an ulcer. The other choices have incorrect or unlikely causes of anemia.

Question 12

The physician has ordered filgrastim (Neupogen)intravenously for the client.What is a priority plan by the nurse prior to administering this drug?

Accepted Answer

The answer of The physician has ordered filgrastim (Neupogen)intravenously for...

Question 13

The client complains of constipation while receiving ferrous sulfate (Feosol).What is the best plan by the nurse to assist the client in resolving this common side effect?

Accepted Answer

Constipation is a common side effect of iron supplementation. The nurse should plan to teach the client to increase fluids and high-fiber foods in the diet to help relieve constipation. This is a safe and effective way to manage constipation without the need for laxatives or enemas. Increasing exercise can also be helpful, but it is not the best choice in this scenario. It is important to first address dietary measures.

Question 14

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 months ago.What will the nurse most likely assess in this client?

Accepted Answer

Cyanocobalamin is a form of vitamin B12 that is essential for the formation of red blood cells and maintenance of nerve function. The client's previous surgical removal of his stomach may cause difficulty with absorbing vitamin B12. Therefore, stopping this drug may lead to neurological symptoms such as memory loss and numbness in the limbs, as well as depression. A gradual decrease in red blood cell counts (B) is a possible complication of vitamin B12 deficiency, but it is not the most likely assessment. Jaundice and tarry stools (C) are not related to a lack of vitamin B12. Low hemoglobin and hematocrit counts (D) may be a result of decreased red blood cell production, but this is not the most likely assessment in this case.

Question 15

The mechanism of action of colony-stimulating factors,such as filgrastim (Neupogen),is to

Accepted Answer

Colony-stimulating factors, such as filgrastim (Neupogen), work by increasing neutrophil production. They stimulate the bone marrow to produce more neutrophils, which are important white blood cells involved in fighting infections.

Question 16

The process for regulating hematopoiesis occurs via

Accepted Answer

Hematopoiesis regulation occurs through the release of various hormones such as erythropoietin, thrombopoietin, and colony-stimulating factors that stimulate the production of different blood cell types from hematopoietic stem cells in the bone marrow. White bone marrow and essential vitamins and nutrients play a role in supporting hematopoiesis, but they do not directly regulate it.

Question 17

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 are the best responses by the nurse? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of The client receives epoetin alfa (Epogen)subcutaneously,and says...

Question 18

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?

Accepted Answer

Black stools are a common side effect of ferrous sulfate (Feosol) due to its iron content. The nurse should educate the client about this expected outcome and reassure them that it is okay. Options B and C are not the best responses as they may cause unnecessary anxiety for the client. Option D is not the best response as the nurse should provide immediate reassurance and education to the client.

Question 19

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?

Accepted Answer

Oprelvekin (Neumega) is a medication used to increase platelet count in clients receiving chemotherapy. It does not directly affect the effectiveness of chemotherapy, help regain lost weight or increase red blood cell count.

Question 20

In monitoring clients receiving hematopoietic agents,it is most important for the nurse to monitor for

Accepted Answer

Hematopoietic agents can increase the risk of thromboembolus formation, so monitoring for this complication is particularly important. While the other options may also be potential complications, thromboembolus formation is the most significant risk.

Quiz 31: Drugs for Hematopoietic Disorders

The physician has prescribed epoetin alfa (Epogen) for the client.What is the priority assessment by the nurse?

The client is pregnant and has been told by her physician that she needs cyanocobalamin (Nascobal) .She asks the nurse,"Will this hurt my baby?" What is the best response by the nurse?

Colony-stimulating factors (CSFs) are named according to

To decrease gastric irritation,anti-anemia medications,such as ferrous sulfate (Ferosol) ,should be taken with

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?

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 statements? Credit will be given only if all correct choices and no incorrect choices are selected.

Per classification of anemias,the morphology for pernicious anemia or folate-deficiency anemia results in

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?

The client receives chemotherapy as therapy for cancer.The physician orders epoetin alfa (Procrit) subcutaneously.The client asks the nurse if this drug is also chemotherapy.What is the best response by the nurse?

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?

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?

The physician has ordered filgrastim (Neupogen) intravenously for the client.What is a priority plan by the nurse prior to administering this drug?

The client complains of constipation while receiving ferrous sulfate (Feosol) .What is the best plan by the nurse to assist the client in resolving this common side effect?

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 months ago.What will the nurse most likely assess in this client?

The mechanism of action of colony-stimulating factors,such as filgrastim (Neupogen) ,is to

The process for regulating hematopoiesis occurs via

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 are the best responses by the nurse? Credit will be given only if all correct choices and no incorrect choices are selected.

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?

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?

In monitoring clients receiving hematopoietic agents,it is most important for the nurse to monitor for