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Questions and Answers
What additional information should the nurse include in the client's teaching plan for iron deficiency anemia?
What additional information should the nurse include in the client's teaching plan for iron deficiency anemia?
If constipation or diarrhea become severe, call your primary care provider.
What is the probable diagnosis for a male client prescribed interferon?
What is the probable diagnosis for a male client prescribed interferon?
Viral hepatitis.
Which drug would the nurse administer for erythropoiesis-stimulating?
Which drug would the nurse administer for erythropoiesis-stimulating?
Epoetin alfa.
What indicates that a patient understands the therapy for pernicious anemia with hydroxocobalamin?
What indicates that a patient understands the therapy for pernicious anemia with hydroxocobalamin?
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What inability of the kidneys causes anemia in chronic renal failure?
What inability of the kidneys causes anemia in chronic renal failure?
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What is the primary issue associated with anemias?
What is the primary issue associated with anemias?
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What would be the priority nursing diagnosis for a patient prescribed epoetin alfa?
What would be the priority nursing diagnosis for a patient prescribed epoetin alfa?
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Which patient should the nurse assess first?
Which patient should the nurse assess first?
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What routes can a hematopoietic agent be administered?
What routes can a hematopoietic agent be administered?
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What should the nurse confirm about a client with chronic renal failure and epoetin alfa regarding additional needs?
What should the nurse confirm about a client with chronic renal failure and epoetin alfa regarding additional needs?
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What drug is anticipated for a patient with chronic renal failure to increase red blood cell production?
What drug is anticipated for a patient with chronic renal failure to increase red blood cell production?
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What supplement should be received prior to surgery for a patient with chronic renal failure receiving epoetin alfa?
What supplement should be received prior to surgery for a patient with chronic renal failure receiving epoetin alfa?
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For what disorder does the nurse suspect treatment if a client received a dose of interferon alpha-2b?
For what disorder does the nurse suspect treatment if a client received a dose of interferon alpha-2b?
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What critical issue should students identify after learning about anemias?
What critical issue should students identify after learning about anemias?
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What action does oral iron administration take to treat anemia?
What action does oral iron administration take to treat anemia?
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What treatment would be prescribed for a patient reporting new-onset fatigue while receiving epoetin alfa?
What treatment would be prescribed for a patient reporting new-onset fatigue while receiving epoetin alfa?
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What likely medication prescription should the nurse anticipate for an older adult client with chronic renal failure experiencing increasing fatigue?
What likely medication prescription should the nurse anticipate for an older adult client with chronic renal failure experiencing increasing fatigue?
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What additional information should the nurse give to a 65-year-old woman with anemia secondary to chronic kidney disease being prescribed Epogen?
What additional information should the nurse give to a 65-year-old woman with anemia secondary to chronic kidney disease being prescribed Epogen?
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The mature red blood cell contains a nucleus.
The mature red blood cell contains a nucleus.
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Which patient will be at the greatest risk for anemia and most likely candidate for epoetin alfa therapy?
Which patient will be at the greatest risk for anemia and most likely candidate for epoetin alfa therapy?
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What assessment datum should the nurse pay particular attention to when monitoring a client receiving epoetin alfa?
What assessment datum should the nurse pay particular attention to when monitoring a client receiving epoetin alfa?
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There is a risk of antibody production with the use of epoetin.
There is a risk of antibody production with the use of epoetin.
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For what purpose would the nurse administer postoperative epoetin alfa to a Jehovah's Witness client?
For what purpose would the nurse administer postoperative epoetin alfa to a Jehovah's Witness client?
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What adverse effect should the oncology nurse monitor for after administering interferon alfa-2b?
What adverse effect should the oncology nurse monitor for after administering interferon alfa-2b?
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What is appropriate guidance for a client receiving iron therapy?
What is appropriate guidance for a client receiving iron therapy?
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What is an example of a hemolytic anemia?
What is an example of a hemolytic anemia?
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What statement indicates success of the initial health education concerning self-injection for a client starting epoetin in chronic renal failure?
What statement indicates success of the initial health education concerning self-injection for a client starting epoetin in chronic renal failure?
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What symptom, if observed after administering epoetin alfa, would be a cause for alarm?
What symptom, if observed after administering epoetin alfa, would be a cause for alarm?
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What assessment finding is attributable to the increased effect of erythropoietin? Select all that apply.
What assessment finding is attributable to the increased effect of erythropoietin? Select all that apply.
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All hematopoietic and immune blood cells are derived from which cells?
All hematopoietic and immune blood cells are derived from which cells?
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What action is necessitated by a hemoglobin level of 12.8 g/dL while on epoetin alfa?
What action is necessitated by a hemoglobin level of 12.8 g/dL while on epoetin alfa?
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What should the nurse monitor for a patient with HIV-related anemia receiving epoetin alfa?
What should the nurse monitor for a patient with HIV-related anemia receiving epoetin alfa?
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What assessment finding would indicate effective treatment after 4 weeks of epoetin alfa?
What assessment finding would indicate effective treatment after 4 weeks of epoetin alfa?
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What statement indicates the need for additional teaching for a client on ferrous sulfate?
What statement indicates the need for additional teaching for a client on ferrous sulfate?
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What function should be included when describing vitamin B12?
What function should be included when describing vitamin B12?
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How soon can ferrous sulfate be expected to act?
How soon can ferrous sulfate be expected to act?
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What condition should the nurse address before administering epoetin alfa to a patient with multiple comorbidities?
What condition should the nurse address before administering epoetin alfa to a patient with multiple comorbidities?
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Which laboratory values should be assessed for a patient with COPD that indicates erythropoietin has been secreted?
Which laboratory values should be assessed for a patient with COPD that indicates erythropoietin has been secreted?
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What finding would be of greatest concern for a nurse caring for a patient with chronic kidney disease on epoetin alfa?
What finding would be of greatest concern for a nurse caring for a patient with chronic kidney disease on epoetin alfa?
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What symptoms might indicate a patient with chronic renal failure is experiencing?
What symptoms might indicate a patient with chronic renal failure is experiencing?
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Which nursing diagnosis would indicate the need for epoetin alfa in a renal failure client?
Which nursing diagnosis would indicate the need for epoetin alfa in a renal failure client?
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How should a client prescribed oral ferrous sulfate solution take the drug?
How should a client prescribed oral ferrous sulfate solution take the drug?
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What percentage of the body's red blood cells (RBCs) is destroyed and replaced each day?
What percentage of the body's red blood cells (RBCs) is destroyed and replaced each day?
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Study Notes
Iron Deficiency Anemia
- Clients should be informed that severe constipation or diarrhea from iron supplements warrants contacting a healthcare provider.
- Oral iron supplementation increases serum iron levels to replenish hemoglobin.
Interferon Therapy
- Interferon is commonly prescribed for viral hepatitis, specifically chronic hepatitis C.
- Side effects may include flu-like symptoms.
Erythropoiesis-Stimulating Agents
- Epoetin alfa is the primary drug administered to stimulate red blood cell production in patients with anemia.
- Patients with chronic renal failure often require epoetin alfa due to the kidneys' inability to produce erythropoietin.
Patient Education and Monitoring
- Patients on hydroxocobalamin for pernicious anemia must understand the need for lifelong monthly injections.
- Key nursing diagnoses include impaired tissue oxygenation related to anemia.
- Monitor vital signs, particularly blood pressure, in patients receiving epoetin alfa.
Anemia Mechanisms
- Chronic renal failure leads to anemia due to the kidneys' failure to produce erythropoietin.
- Anemia can be caused by ineffective red blood cell production or defects in red blood cell function.
- Hemolytic anemia can be exemplified by conditions like sickle cell anemia.
Medication Administration Routes
- Hematopoietic agents can be administered subcutaneously or intravenously.
- Ensure proper education for patients self-administering injections, focusing on comfort with the technique.
Treatment Complications
- Epoetin therapy can lead to antibody production, increased blood pressure, and, in rare cases, myocardial infarction.
- Assess for new-onset fatigue in patients receiving epoetin alfa and consider iron supplementation if indicated.
Iron Supplementation
- Iron therapy may cause stool discoloration; clients should be advised accordingly.
- Clients should avoid taking antacids simultaneously with iron supplements to prevent reducing absorption.
B12 and Anemia Symptoms
- Vitamin B12 is crucial for maintaining the myelin sheath around nerves.
- Neurologic symptoms, such as peripheral numbness and confusion, are associated with pernicious anemia.
Anemia Prevalence in Certain Populations
- Older adults, cancer patients, and individuals with chronic kidney disease are at a higher risk of developing anemia.
- Continuous assessment and education are vital, particularly in managing symptoms and understanding treatment options like epoetin alfa.
Laboratory Assessments
- Hemoglobin and red blood cell counts are critical indicators that the kidneys secrete erythropoietin.
- Normal red blood cell turnover is approximately 1% per day.
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Description
This quiz covers essential information about various types of anemia, including iron deficiency and pernicious anemia. It addresses treatment options, side effects of medications, and the importance of patient education and monitoring. Test your knowledge on anemia care and management strategies.
