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.

Answer and Explanation

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. .

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Correct Answer is C

Explanation

Choice A rationale

Muscle rigidity is not commonly associated with hypokalemia. Hypokalemia causes muscle weakness, cramps, and possible paralysis, but not rigidity. Potassium is critical for muscle function, and low levels cause flaccid, not rigid muscles.

Choice B rationale

Hypokalemia does not cause bounding radial pulses. Instead, it can lead to weak and irregular pulses due to its effect on cardiac muscle excitability. Potassium is crucial for normal cardiac rhythm and contractility.

Choice C rationale

Hypokalemia causes depressed deep tendon reflexes due to reduced excitability of neurons. Normal potassium levels (3.5 to 5 mEq/L) are essential for proper neuromuscular function; low levels impair nerve impulse transmission.

Choice D rationale

Increased bowel motility is not a typical finding in hypokalemia. Hypokalemia can cause decreased bowel motility and constipation due to reduced smooth muscle contraction. Potassium is vital for smooth muscle activity.

A. Hydrochlorothiazide prevents angiotensin II from binding with receptor sites. B. Hydrochlorothiazide decreases the reabsorption of sodium and water in the distal renal tubule. C. Hydrochlorothiazide blocks stimulation of beta receptors in the sympathetic nervous system. D. Hydrochlorothiazide promotes the movement of extravascular fluids into the vascular compartment.

Correct Answer is B

Explanation

Choice A rationale

Hydrochlorothiazide does not interact with angiotensin II receptors. Instead, it affects electrolyte balance in the kidney by inhibiting sodium and chloride reabsorption, leading to increased urine output and reduction in blood pressure.

Choice B rationale

Hydrochlorothiazide decreases sodium and water reabsorption in the distal tubules, increasing urine production. This diuretic action reduces blood volume and subsequently decreases blood pressure, effectively treating hypertension.

Choice C rationale

Hydrochlorothiazide does not block beta receptors. Beta blockers reduce heart rate and decrease cardiac output to lower blood pressure. Hydrochlorothiazide acts as a diuretic, not a beta receptor antagonist.

Choice D rationale

Hydrochlorothiazide does not promote movement of extravascular fluids into the vascular compartment. It decreases blood volume by reducing fluid retention through increased urine output, thereby lowering blood pressure.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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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?