A nurse is caring for a client who has chemotherapy-induced anemia.
The nurse should expect to administer which of the following medications to treat the anemia?
Sargramostim.
Filgrastim.
Epoetin.
Romiplostim.
The Correct Answer is C
Choice A rationale
Sargramostim stimulates white blood cell production, particularly granulocytes and macrophages. It is used for neutropenia, not anemia, as it does not target red blood cells or hemoglobin levels.
Choice B rationale
Filgrastim also stimulates white blood cell production, specifically neutrophils. It is used to treat neutropenia but does not address the red blood cell deficiency in anemia.
Choice C rationale
Epoetin stimulates red blood cell production in the bone marrow by mimicking erythropoietin. It is commonly used to treat anemia, especially in patients undergoing chemotherapy.
Choice D rationale
Romiplostim stimulates platelet production by activating the thrombopoietin receptor. It is used for thrombocytopenia but does not help increase red blood cells in anemia. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Respiratory rate of 24/min indicates possible respiratory distress but is not a common adverse effect of propranolol, which typically affects heart rate and blood pressure.
Choice B rationale
An oral temperature of 38.9° C (102°F) suggests fever, which is not a known adverse effect of propranolol. Common side effects are bradycardia, hypotension, and fatigue.
Choice C rationale
Blood pressure of 118/78 mm Hg is within normal range (90/60 to 120/80 mm Hg) and is not an adverse effect of propranolol, which usually lowers blood pressure.
Choice D rationale
Apical pulse of 50/min indicates bradycardia, a common adverse effect of propranolol, which reduces heart rate by blocking beta-adrenergic receptors.
Correct Answer is A
Explanation
Choice A rationale
Acyclovir is an antiviral medication that inhibits viral DNA synthesis. It reduces the severity and duration of varicella-zoster virus symptoms by targeting the virus directly.
Choice B rationale
Vancomycin is an antibiotic effective against Gram-positive bacteria. It is not effective against viral infections like varicella-zoster, which requires antiviral treatment.
Choice C rationale
Gentamicin is an aminoglycoside antibiotic used to treat Gram-negative bacterial infections. It is ineffective against varicella-zoster virus, which is a viral infection.
Choice D rationale
Quinine is an antimalarial medication used to treat malaria. It does not have antiviral properties and is not effective against varicella-zoster virus.
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