Chapter 32 - Answers
1. An older adult patient diagnosed with iron deficiency anemia will be taking ferrous sulfate.
The nurse will teach which of the required administration guidelines to the patient.
a. take the tablet on an empty stomach if possible
b. increase fluid intake and increase dietary fiber while taking this medication
c. if liquid preparation are used, dilute with water of juice and sip through a straw placed in the
back of the mouth
d. crush or dissolve sustained release tablets in water if they are too big to swallow
e. take this drug at bedtime - Answers a, b, c
2. When planning to teach the patient about the use of epoetin alpha, the nurse would give
which of the following instructions?
a. eating raw fruits and vegetables must be avoided
b. frequent rest periods should be taken to avoid excess fatigue
c. skin and mucous membranes should be protected from traumatic injury
d. exposure to direct sunlight must be minimalized and sunscreen used when outdoors -
Answers b
3. Darbepoetin is ordered for each of the following patients. The nurse would question the order
for which condition?
a. patient with chronic renal failure
b. patient with AIDs
c. patient with Hypertension
d. patient receiving chemotherapy for cancer - Answers c
4. The nursing plan of care for a patient receiving oprelvekin should include careful monitoring
for which adverse effect?
, a. fluid retention
b. severe hypotension
c. impaired liver function
d. severe diarrhea - Answers a
5. To best monitor for therapeutic effects from filgrastim (Neupogen), the nurse will assess
which laboratory finding?
a. hemoglobin and hematocrit
b. white blood cell and absolute neutrophil counts
c. serum electrolytes
d. red blood cell counts - Answers b
6. A patient diagnosed with pernicious anemia is to start cyanocobalamin injections. Which of
the following patient statements demonstrated an understanding of the nurse's teaching?
a. "I need to be careful to avoid infection"
b. "I will need to take this drug for the rest of my life"
c. "I should increase my intake of food that contains vitamin B12"
d. "I need to take the liquid preparation through a straw"
e. I may be able to switch over to nasal sprays once my vitamin B12 levels are normal" -
Answers b, e
Chapter 33 - Answers
1. A patient with a history of hypertension is to start drug therapy for rheumatoid arthritis. Which
of the following drugs would be contraindicated, or used cautiously, for this patient? (select all
that apply)
a. aspirin