CHAPTER 22: AGENTS USED TO TREAT ANEMIAS

CHAPTER 22: AGENTS USED TO TREAT ANEMIAS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse would anticipate the use of what medication in the treatment of anemia associated with chronic renal failure:

a.	epoetin alfa recombinant.	c.	platelets.
b.	cobalamin.	d.	folic acid.

 

 

ANS:  A

 

	Feedback
A	Correct: This is administered to these clients while on the dialysis circuit.
B	Incorrect: This is for vitamin B12 deficiency anemia.
C	Incorrect: This is for severe megaloblastic anemia.
D	Incorrect: This is for folic acid deficiency anemia.

 

 

PTS:   1                    REF:   p. 529            OBJ:   Cognitive Level: Comprehension

 

2. The nurse understands that the reason U.S. food manufacturers of flours and certain other grain products are required to add folic acid to their product is because folic acid:

a.	enhances the flavor of the food.
b.	deficiencies may cause neural tube defects during pregnancy.
c.	prolongs the shelf life of the product.
d.	promotes increased growth in childhood.

 

 

ANS:  B

 

	Feedback
A	Incorrect: This is not the reason and it doesn’t enhance the flavor of food.
B	Correct: This is the reason for this mandate.
C	Incorrect: This is a false statement.
D	Incorrect: This is a false statement.

 

 

PTS:   1                    REF:   p. 531            OBJ:   Cognitive Level: Comprehension

 

3. The client with megaloblastic anemia asks the nurse what causes this disorder. The nurse’s best response is:

a.	“Megaloblastic anemia results from inadequate iron and niacin in your diet.”
b.	“Megaloblastic anemia results from inadequate stores of vitamin K and vitamin C in the body.”
c.	“Megaloblastic anemia results from vitamin B12 or folic acid deficiency or both.”
d.	“We really don’t know the cause, but it probably is related to your smoking.”

 

 

ANS:  C

 

	Feedback
A	Incorrect: This is not the cause of megaloblastic anemia.
B	Incorrect: This is not the cause of megaloblastic anemia.
C	Correct: This is the cause of megaloblastic anemia.
D	Incorrect: This is not the cause of megaloblastic anemia.

 

 

PTS:   1                    REF:   p. 530            OBJ:   Cognitive Level: Application

 

4. The client who has megaloblastic anemia will usually have red blood cells that are:

a.	macrocytic.	c.	normocytic.
b.	hypochromic.	d.	sickled.

 

 

ANS:  A

 

	Feedback
A	Correct: Macrocytic is descriptive of these erythrocytes.
B	Incorrect: This does not describe the erythrocytes of megaloblastic anemia.
C	Incorrect: This does not describe the erythrocytes of megaloblastic anemia.
D	Incorrect: This does not describe the erythrocytes of megaloblastic anemia.

 

 

PTS:   1                    REF:   p. 529            OBJ:   Cognitive Level: Knowledge

 

5. The client with anemia asks the nurse what usually causes anemia. The nurse’s best reply is:

a.	“The most common cause is a history of pancreatitis.”
b.	“Although anemia can have several causes, the most common is nutritional deficits.”
c.	“Your anemia was probably cause by genetic predisposition to anemia.”.
d.	“Anemia is a common side effect of medications.

 

 

ANS:  B

 

	Feedback
A	Incorrect: This is not the most common cause.
B	Correct: The most common cause is nutritional, so this is an appropriate nursing response.
C	Incorrect: This is not the most common cause.
D	Incorrect: This is not the most common cause.

 

 

PTS:   1                    REF:   p. 527            OBJ:   Cognitive Level: Application