Question 1

When describing the various types of blood cells, which cell type would the instructor describe as supplying our cells with oxygen from the lungs?

Accepted Answer

erythrocytes

Question 2

The nurse learns that a client in a clinic is taking folic acid to treat an associated anemia. The client decided to go on a fasting diet for the last two weeks to lose weight before her daughter\'s wedding. How would the nurse explain the importance of staying on the diet that the provider prescribed last month?

Accepted Answer

\"The prescribed diet and drug are necessary to correct anemia associated with folic acid deficiency.\"

Question 3

The nurse is discussing adverse reactions involving the cardiovascular system after administration of oprelvekin. The nurse would include which reactions in the client teaching plan?

Accepted Answer

Arrhythmia

Question 4

In addition to autoimmune disorders, immunosuppressant medications are used to treat which disorder?

Accepted Answer

Crohn\'s disease

Question 5

Mycophenolate mofetil is being considered in the treatment of a 39-year-old female transplant recipient. Before the initiation of therapy, the nurse must assess the client for what information to ensure safety?

Accepted Answer

the fact that the client is not pregnant

Question 6

A client is receiving an IV immune stimulant and develops a cardiac arrhythmia. What is the nurse\'s priority action?

Accepted Answer

Stop the drug immediately.

Question 7

A client is receiving oprelvekin. What assessment finding would lead the nurse to suspect that the client is experiencing a severe hypersensitivity reaction? Select all that apply.

Accepted Answer

Dyspnea  Difficulty swallowing

Question 8

A client is diagnosed with anemia. The nurse understands that anemia can result in which effect?

Accepted Answer

decreased platelet production

Question 9

A nurse is describing the process by which the body is stimulated to make more of a specific type of blood cells. The nurse is describing which process?

Accepted Answer

hematopoiesis

Question 10

A nurse is caring for a client with a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements related to iron deficiency. Which instructions should the nurse offer the client when providing care?

Accepted Answer

Increase intake of lean red meats.

Question 11

The nurse is caring for a client who has a diagnosis of chronic hepatitis B and has been prescribed an immune stimulant. The client provides client education. How would the nurse evaluate the effectiveness of the teaching plan?   You Selected:

Accepted Answer

The client can state specific measures to avoid adverse effects.

Question 12

A female client 50 years of age has a history of an allergy to cyanocobalamin. Based on the history, the nurse knows which of the following vitamins is contraindicated?

Accepted Answer

B12

Question 13

A 72-year-old client has been diagnosed with iron deficiency anemia. The client comes to the clinic for the nurse to teach the recommended way to take the iron supplement. Which of the following information would the nurse include in the client\'s teaching plan?

Accepted Answer

\"Take this drug with water on an empty stomach.\"

Question 14

To help understand immunostimulant drug therapy, the client has come to the clinic for a class on thrombopoiesis. The nurse explains that the term means the formation of which types of blood cells?

Accepted Answer

Platelets

Question 15

The nurse is providing education to clients who are required to take B12 due to deficiency anemia. The nurse should discuss the role of which body substance responsible for absorption of this vitamin?

Accepted Answer

Intrinsic factor

Question 16

A 42-year-old client is experiencing chemotherapy-induced thrombocytopenia. The nurse is providing information to the client regarding the medication oprelvekin. Which information would the nurse include in the explanation?

Accepted Answer

\"Chemotherapy has caused you to have a low platelet count, which puts you at risk for bleeding. Oprelvekin is used to increase platelet production to decrease the risk.\"

Question 17

The nurse educator is teaching an online pharmacology class. The topic of the online seminar is the contraindications for the use of colony stimulation factor. The nurse includes which contraindication?

Accepted Answer

Known hypersensitivity

Question 18

A client is scheduled for renal transplantation. At what point in the client\'s care should the first dose of sirolimus (Rapamune) be given?

Accepted Answer

As soon as possible after the transplant

Question 19

The nurse is caring for an older adult receiving immune modulators. What are appropriate actions by the nurse? Select all that apply.

Accepted Answer

Assess carefully for infection.  Obtain baseline liver function studies and monitor follow-up studies.  Determine dosage based on renal and liver function.

Question 20

The nurse is reviewing laboratory values of client who has a respiratory illness. Which cells supply oxygen to the tissues?

Accepted Answer

RBC\'s

Question 21

A nurse is reviewing laboratory values of a client who has a urinary tract infection. Which cells protect the body from microorganisms?

Accepted Answer

WBCs

Question 22

A client is receiving omalizumab to treat allergic asthma, which is not relieved by inhaled corticosteroids. Which nursing intervention is appropriate with each dose administration of omalizumab?

Accepted Answer

Have epinephrine available during administration.

Question 23

An older adult woman has experienced a sharp decline in her mobility and quality of life due to severe rheumatoid arthritis. As a result, her care provider has recently prescribed abatacept. This fusion protein inhibitor will achieve a therapeutic effect by what means?

Accepted Answer

preventing the activation of T cells

Question 24

An adult male client experienced a kidney transplant 2 days ago, and his regimen of antirejection drugs began just prior to surgery. What nursing action should be integrated into this client\'s plan of care?

Accepted Answer

Place the client in a single, protective isolation room.

Question 25

Filgrastim (Neupogen) should be used cautiously in clients with which medical conditions?

Accepted Answer

hypothyroidism

Question 26

Oprelvekin is a drug that stimulates the process of making which blood cells?

Accepted Answer

platelets

Question 27

A client suffering from anemia resulting from chronic kidney disease might be treated with which drugs?

Accepted Answer

epoetin alfa

Question 28

The nurse is administering colony-stimulating factors to an older adult client after chemotherapy. The nurse should explain to the client that this medication is being administered for which reason?

Accepted Answer

\"Your body is going to have trouble fighting off infections on it\'s own. This medication will help with that.\"

Question 29

After a client age 65 years diagnosed with vitamin B12 deficiency learns about the use of the vitamin, she asks the nurse what caused her B12 deficiency anemia. Which of the following statements would the nurse use when teaching the client about vitamin B12?

Accepted Answer

\"You have a deficiency because you are on a strict vegan diet.\"

Question 30

The nurse is teaching a client about macrocytic anemia. Which of the following information would the nurse include in the teaching plan?

Accepted Answer

\"This is an anemia that results from the abnormal formation of erythrocytes.\"

Question 31

A client comes to the clinic to learn about pernicious anemia. What would the nurse include in the lesson plan?

Accepted Answer

Avoid contact with infectious disease.

Question 32

A female client has been admitted to the emergency department in distress and the nurse\'s review of the client\'s medication administration record reveals that the client takes cyclosporine and mycophenolate. What is the nurse\'s most appropriate assessment question for the client\'s family members?

Accepted Answer

\"Has she ever been the recipient of a tissue transplant?\"

Question 33

The nurse administers aldesleukin to a client diagnosed with renal cell carcinoma. When assessing the client five days later, what abnormal findings should the nurse most likely attribute to the medication? Select all that apply.

Accepted Answer

Increased lymphocyte count  Increased platelet count  Irregular pulse rate

Question 34

The nurse is providing care for a client who has chronic hepatitis C. The client has recently been prescribed peginterferon alfa-2b. What is the nurse\'s most appropriate action?

Accepted Answer

Teach the client how to self-administer subcutaneous injections

Question 35

A client has undergone bone marrow transplant for the treatment of multiple myeloma. The client has been prescribed filgrastim (Neupogen) 6 mcg/kg IV daily. What outcome should indicate successful medication therapy to the nurse?

Accepted Answer

The client remains free of infection

Question 36

A nurse is reviewing the laboratory values of a client admitted for gastrointestinal bleed. Which cells control bleeding?

Accepted Answer

platelets

Question 37

A client is prescribed filgrastim. Which is the nurse\'s best explanation of how this drug works?

Accepted Answer

It stimulates growth and production of WBCs to fight off infection.

Question 38

A nurse is teaching a client about an iron supplement. Which should be included in the teaching a client about this medication?

Accepted Answer

It should be taken on an empty stomach.

Question 39

Which of these conditions or lifestyle choices would put clients at risk for developing a B12 deficiency? Select all that apply.

Accepted Answer

vegan lifestyle  gastric cancer  ulcerative colitis

Question 40

A nurse is teaching a client about immunosuppressants. Which common adverse reactions of immunosuppressants should be included in the teaching? (Select all that apply.)

Accepted Answer

Chills  Headache  Fever

Question 41

What common adverse reactions of tacrolimus should the nurse teach the client? (Select all that apply.)

Accepted Answer

tremors   hair growth   gum hyperplasia

Question 42

What are important precautions a nurse should teach a client receiving an immunosuppressant? (Select all that apply.)

Accepted Answer

Avoid crowds.   Take precautions to avoid getting pregnant.   Keep follow-up appointments for laboratory assessments.

Question 43

A client has a successful liver transplant. The nurse should advise the client prescribed oral cyclosporine to avoid mixing the drug with what form of liquid?

Accepted Answer

any type of grapefruit juice

Question 44

The nurse is assessing a client during a home health visit. The client asks how interferon works. The nurse should inform the client that interferon works by:

Accepted Answer

controlling cellular proteins.

Question 45

The nurse is caring for a female client, aged 62, who has been admitted for treatment of metastatic melanoma. What agent would the nurse anticipate the client is likely to order?

Accepted Answer

Ipilimumab

Question 46

A 72-year-old male client has arrived at the outpatient unit to receive an infusion of alemtuzumab (Compath). The client tells the nurse this is the second time his chronic lymphocytic leukemia has relapsed and the second time he will receive this drug because he failed alemtuzumab therapy after being treated with an alkylating agent. What is the priority nursing action?

Accepted Answer

Confirming the order with the prescriber

Question 47

A client is prescribed which drug that acts on the hematopoietic cells to stimulate proliferation, differentiation, and maturation of white blood cells?

Accepted Answer

filgrastim

Question 48

Which conditions in a client\'s history should the nurse report to the health care provider who prescribed epoetin alfa? Select all that apply.

Accepted Answer

seizures   hypertension   congestive heart failure

Question 49

A client comes to the clinic asking what hematopoiesis means. How should the nurse explain this to the client?

Accepted Answer

Hematopoiesis means undifferentiated stem cells are stimulated to become specific blood cells.

Question 50

A client asks what neutropenia is. Which is the nurse\'s best response?

Accepted Answer

a condition when the neutrophil level is very low

Question 51

A client diagnosed with anemia asks what the cause of anemia is. Which is the nurse\'s best response?

Accepted Answer

It is caused by a decrease in the number of RBCs.

Question 52

Which are common adverse reactions that is included in teaching a client about epoetin? Select all that apply.

Accepted Answer

fatigue   nausea   headache

Question 53

In reviewing a client\'s record, the nurse observes that the health care provider suspects a Vitamin B12 deficiency. What test is used to diagnosis a vitamin B12 deficiency?

Accepted Answer

Schilling test

Question 54

A group of nursing students demonstrate understanding of blood cells when they identify which cell as responsible for controlling the bleeding from microscopic to major tears in our tissues?

Accepted Answer

megakaryocytes

Question 55

Which of the following drugs act on the hematopoietic cells to stimulate proliferation, differentiation, and maturation of white blood cells? (Choose one)

Accepted Answer

Filgrastim (Neupogen)

Question 56

A nurse is assigned to care for a client with iron deficiency anemia who is prescribed iron therapy. Which should the nurse confirm to ensure that iron compounds are not contraindicated in this client?

Accepted Answer

The client does not have hemochromatosis.

Question 57

A client with iron deficiency is prescribed iron dextran. Based on the nurse\'s understanding of this drug, the nurse would expect to administer it cautiously to a client with which condition?

Accepted Answer

asthma

Question 58

The nurse is caring for a client who has a diagnosis of chronic hepatitis B and has been prescribed an immune stimulant. The client provides client education. How would the nurse evaluate the effectiveness of the teaching plan?

Accepted Answer

The client can state specific measures to avoid adverse effects.

Question 59

A client has a low white blood cell count and is concerned about acquiring an infection. The client will not sign the informed consent due to a knowledge deficit about the CSF. How should the nurse respond?

Accepted Answer

\"Chemotherapy kills cancer cells as well as good cells needed to prevent and control infection. The cells are called white blood cells that grow in stages but are not effective until the cell is in the adult stage. A colony-stimulating drug acts on these cells to stimulate growth to the mature adult white blood cell stage, so that the cells can go to work to help protect you from infection.\"

Question 60

The nurse educator is teaching students regarding different types of immunostimulant drugs. When discussing lab values associated with the administration of these drugs, which cell counts should the nurse tell the students to expect?

Accepted Answer

Low platelet and low white blood cell count.

Question 61

The nurse is caring for a client who is receiving parenteral administration of an iron supplement. During administration, the nurse will monitor and report which of the following adverse reactions immediately?

Accepted Answer

Dyspnea, urticaria, rashes, itching, and fever

Question 62

The nurse is teaching a novice nurse hire how to administer colony-stimulating factors. It is important to include which of the following information?

Accepted Answer

\"Colony-stimulating factors are fragile and must be mixed before administration.\"

Question 63

A student nurse is preparing to administer an oral iron supplement to a client diagnosed with iron deficiency anemia. The supervising nurse should question the student regarding which interaction caused when iron and antibiotics are used together for treatment?

Accepted Answer

Iron causes a decreased gastrointestinal absorption of the antibiotic.

Question 64

The nurse is providing care for a client whose current medications include tacrolimus (Prograf). The nurse should anticipate that this client is likely to be taking what medication concurrently?

Accepted Answer

Prednisone

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