A client who is diagnosed multiple myeloma experiences decreased production of red blood cells (RBCs). Which prescribed medication should the nurse prepare to administer to increase the production of erythrocytes?
Erythropoietin
Filgrastim
Dexamethasone
Pegfilgrastim
The Correct Answer is A
A. Erythropoietin: Erythropoietin is a medication that stimulates the production of red blood cells (RBCs). It is commonly prescribed for clients with anemia, including those with multiple myeloma, to increase RBC production.
B. Filgrastim: Filgrastim is a granulocyte colony-stimulating factor (G-CSF) used to stimulate the production of white blood cells (WBCs), not red blood cells. It is typically used in clients with neutropenia.
C. Dexamethasone: Dexamethasone is a corticosteroid used for its anti-inflammatory and immunosuppressive effects. While it is used in the treatment of multiple myeloma, it does not stimulate RBC production.
D. Pegfilgrastim: Pegfilgrastim is a longer-acting form of filgrastim and is used to stimulate the production of white blood cells (WBCs). It does not affect RBC production.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. CD4+ T-cell count: The CD4+ T-cell count is used to assess immune system function in clients with HIV but is not used to confirm an HIV diagnosis. It helps monitor the progression of the disease and the effectiveness of treatment rather than confirm the presence of HIV.
B. Western blot analysis: The Western blot is the confirmatory test following an initial positive ELISA result. It is highly specific and used to detect antibodies against HIV, confirming the diagnosis. This is the gold standard for HIV confirmation after a positive ELISA.
C. Quantitative RNA assay: A quantitative RNA assay measures the amount of HIV RNA in the blood, helping to assess the viral load. However, it is not used to confirm HIV infection; it is more useful for monitoring the progression of the disease.
D. Viral load test: The viral load test measures the amount of HIV in the blood, indicating how active the virus is. It is useful for monitoring treatment effectiveness but is not used for initial diagnosis confirmation after a positive ELISA.
Correct Answer is ["3"]
Explanation
Desired dose = 30 mg.
Available strength of each tablet = 10 mg/tablet.
Calculate the number of tablets to administer.
Number of tablets = Desired dose (mg) / Available strength (mg/tablet)
= 30 mg / 10 mg/tablet
= 3 tablets.
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