Nokea
A client with iron deficiency anemia is prescribed iron supplements. After administering the drug, the nurse would assess the client for which of the following as a possible adverse reaction related to gastrointestinal function?
- A. Headache
- B. Darker stools
- C. Soreness
- D. Backache
Correct Answer: B
Rationale: The nurse needs to closely monitor the client for darker stools as an adverse gastrointestinal reaction to iron supplements. Headache and backache are the generalized system reactions to iron supplements. Soreness is a generalized system reaction to the administration of iron when given though the parenteral route.
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After reviewing information about colony-stimulating factors, a group of nursing students demonstrate understanding of the information when they identify which of the following as true about filgrastim (Neupogen)? Select all that apply.
- A. Is a glycoprotein
- B. Promotes proliferation of leukocytes
- C. Stimulates differentiation of erythrocytes
- D. Stimulates maturation of megakaryocytes
- E. Is used to treat chemotherapy-induced neutropenia
Correct Answer: A,B,E
Rationale: Colony-stimulating factors such as filgrastim (Neupogen) are glycoproteins used to stimulate proliferation, differentiation, and maturation of leukocytes. They are used to treat chemotherapy-induced neutropenia.
After administering methoxy polyethylene epoetin beta, the nurse would be alert for the development of which of the following as a possible adverse reaction? Select all that apply.
- A. Bone pain
- B. Fluid retention
- C. Hypertension
- D. Fatigue
- E. Arthralgia
Correct Answer: C,D,E
Rationale: Hypertension, headache, nausea, vomiting, diarrhea, rashes, fatigue, arthralgia, and injection site skin reactions are adverse reactions the nurse should discuss with a client prior to the administration of methoxy polyethylene epoetin beta (Mircera).
A client who is prescribed an iron preparation for treating iron deficiency anemia tells the nurse that she has also been taking ascorbic acid. The nurse would assess the client for which of the following?
- A. An increase in seizure activity
- B. Signs of vitamin B12 deficiency
- C. Increased absorption of iron
- D. Signs of folate deficiency
Correct Answer: C
Rationale: The nurse should monitor for an increased absorption of iron in the client due to the interaction of ascorbic acid with the iron preparation. An increase in seizure activity may occur when folic acid is administered with the hydantoins. Signs of folate deficiency may occur when sulfasalazine is administered concurrently. Vitamin B12 deficiency is a rare deficiency caused by a low dietary intake.
A nursing instructor is conducting a class on the different types of blood cells. Which of the following would the instructor include as the correct function? Select all that apply.
- A. Erythrocytes supply our cells with oxygen from the lungs to the tissues.
- B. Erythrocytes control bleeding from microscopic to major tears in our tissues.
- C. Leukocytes supply our cells with oxygen from the lungs to the tissues.
- D. Leukocytes protect the body from dangerous organisms.
- E. Megakaryocytes control bleeding from microscopic to major tears in our tissues.
Correct Answer: A,D,E
Rationale: Erythrocytes supply our cells with oxygen from the lungs to the tissues; leukocytes protect the body from dangerous organisms; and megakaryocytes control bleeding from microscopic to major tears in our tissues.
A client is prescribed oprelvekin. The nurse would administer the drug cautiously to the client if he had a history of which of the following? Select all that apply.
- A. Diabetes
- B. Renal failure
- C. Peptic ulcer disease
- D. Heart failure
- E. Atrial fibrillation
Correct Answer: B,D,E
Rationale: Oprelvekin (Neumega) is used cautiously in clients with renal failure, heart failure, or atrial arrhythmias.