NR 566 / NR566 Advanced Pharmacology Care of the Family Week 5 Quiz bank |Chapters 18, 19, 27, | LATEST, Q & A | Chamberlain College
Chapter 18.
... [Show More] Drugs Affecting the Hematopoietic System
____ 1. The FDA issued a safety announcement regarding the use of erythropoiesis-stimulating agents (ESAs) in 2010 with the recommendation that:
1. ESAs no longer be prescribed to patients with chronic renal failure
2. The risk of tumor development be explained to cancer patients on ESA therapy
3. Patients should no longer receive ESA therapy to prepare for allogenic transfusions
4. ESAs be prescribed only to patients younger than age 60 years
____ 2. When patients are started on darbepoetin alfa (Aranesp) they need monitoring of their blood counts to determine a dosage adjustment in:
1. 6 weeks if they are a cancer patient
2. 1 week if they have chronic renal failure
3. 2 weeks if they are taking it for allogenic transfusion
4. Each week throughout therapy
____ 3. Jim is having a hip replacement surgery and would like to self-donate blood for the surgery. In addition to being prescribed epogen alpha he should also be prescribed:
1. Folic acid to prevent megaloblastic anemia
2. Iron, to start when the epogen starts
3. An antihypertensive to counter the adverse effects of epogen
4. Vitamin B12 to prevent pernicious anemia
____ 4. Monitoring for a patient being prescribed iron for iron deficiency anemia includes:
1. Reticulocyte count 1 week after therapy is started
2. Complete blood count every 2 weeks throughout therapy
3. Hemoglobin level at 1 week of therapy
4. INR weekly throughout therapy
____ 5. Patient education regarding taking iron replacements includes:
1. Doubling the dose if they miss a dose to maintain therapeutic levels
2. Taking the iron with milk or crackers if it upsets their stomach
3. Iron is best taken on an empty stomach with juice
4. Antacids such as Tums may help the upset stomach caused by iron therapy
____ 6. The routine monitoring recommended for low molecular weight heparin is:
1. INR every 2 days until stable, then weekly
2. aPTT every week while on therapy
3. Factor Xa levels if the patient is pregnant
4. White blood cell count every 2 weeks
____ 7. When writing a prescription for warfarin it is common to write _________ on the prescription.
1. OK to substitute for generic
2. The brand name of warfarin and Do Not Substitute
3. PRN refills
4. Refills for 1 year
____ 8. Education of patients who are taking warfarin includes discussing their diet. Instructions include:
1. Avoiding all vitamin K-containing foods
2. Avoiding high-vitamin K-containing foods
3. Increasing intake of iron-containing foods
4. Making sure they eat 35 grams of fiber daily
____ 9. Patients who are being treated with epoetin alfa need to be monitored for the development of:
1. Thrombocytopenia
2. Neutropenia
3. Hypertension
4. Gout
____ 10. Patients with pernicious anemia require treatment with:
1. Iron
2. Folic acid
3. Epogen alpha
4. Vitamin B12 [Show Less]