NR566 Advanced Pharmacology Care of the Family Week 5 Quiz bank
Chapters 18, 19, 27, LATEST, QUESTION &ANSWER Chamberlain College
Chapter 18. Drugs Affecting the Hematopoietic System
1. The FDA issued a safety announcement regarding the use of erythropoiesis-stimulating agents (ESAs) i...
NR566 Advanced Pharmacology Care of
the Family Week 5 Quiz bank
Chapters 18, 19, 27, LATEST,
QUESTION &ANSWER Chamberlain
College
Chapter 18. 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
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