Nokea
A nurse identifies a nursing diagnosis of Constipation for a client receiving iron supplements. Which of the following would be appropriate to promote resolution of this problem?
- A. Increase the intake of milk and dairy products.
- B. Consume a diet high in fiber.
- C. Take antacids after consuming meals.
- D. Perform vigorous exercises.
Correct Answer: B
Rationale: When caring for a client with constipation, the nurse should instruct the client to consume a high-fiber diet, increase fluid intake to 10 to 12 glasses of water daily, and increase activity. Increased activity can include exercise, however, the client does not need to engage in vigorous exercise. Increasing the intake of milk and dairy products or taking antacids after meals will not help reduce the constipation or the discomfort caused due to it.
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A nurse is caring for a client who has been prescribed iron dextran. The nurse understands that which information is used to calculate the drug dosage?
- A. Client's age
- B. Client's height
- C. Hemoglobin level
- D. Platelet count
Correct Answer: C
Rationale: Hemoglobin level and body weight of the client are important information the nurse requires to calculate the drug dosage for administering iron dextran. The client's age, height, and platelet count are not essential information when calculating drug dosage for iron dextran.
A client is to receive darbepoetin alfa (Aranesp). When administering the drug, the nurse integrates knowledge of which of the following? Select all that apply.
- A. The drug is a glycoprotein.
- B. It is used to stimulate the production of erythrocytes.
- C. It helps stimulate differentiation of leukocytes.
- D. The drug promotes the maturation of megakaryocytes.
- E. It is used to stimulate thrombopoiesis
Correct Answer: A,B
Rationale: The following is true of the drug darbepoetin alfa (Aranesp): it is a glycoprotein, erythropoiesis-stimulating agent used to stimulate and regulate the production of erythrocytes (erythropoiesis).
A client has a hypersensitivity reaction to pegfilgrastim (Neufasta). The nurse would expect to administer which of the following to treat the hypersensitivity reaction and maintain the use of colony-stimulating factors? Select all that apply.
- A. Prednisone
- B. Diphenhydramine
- C. Albuterol
- D. Naproxen
- E. Hydrocodone
Correct Answer: A,B,C
Rationale: Colony-stimulating factors, like pegfilgrastim (Neulasta), can cause hypersensitivity reactions and should be treated with antihistamines (diphenhydramine), steroids (prednisone), and bronchodilators (albuterol) to maintain their use.
A nurse is administering darbepoetin alfa to a client. The nurse checks the client's hemoglobin level carefully during the administration based on the understanding that polycythemia can occur, leading to which of the following? Select all that apply.
- A. Increased mortality
- B. Tumor progression
- C. Severe hypotension
- D. Thromboembolic events
- E. Cardiovascular events
Correct Answer: A,B,D,E
Rationale: Polycythemia is an overload of erythrocytes that can result in increased mortality, serious cardiovascular and thromboembolic events, and possible tumor progression in clients with cancer.
A client is prescribed vitamin B12 for vitamin B12 deficiency anemia. After teaching the client about the drug, the nurse determines that the teaching was successful when the client states that which of the following can decrease the absorption of oral vitamin B12? Select all that apply.
- A. Alcohol
- B. Calcium
- C. Neomycin
- D. Colchicine
- E. Phenytoin
Correct Answer: A,C,D
Rationale: Alcohol, neomycin, and colchicine may decrease the absorption of oral vitamin B12.