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 A
Explanation
Choice A rationale
Granisetron is a 5-HT3 receptor antagonist used to treat chemotherapy-induced nausea and vomiting, a common adverse effect of topotecan.
Choice B rationale
Insulin lispro is a rapid-acting insulin used to manage blood glucose levels in diabetic patients, not to treat adverse effects of topotecan.
Choice C rationale
Docusate sodium is a stool softener used to prevent constipation by increasing the water content of stool, unrelated to topotecan's adverse effects.
Choice D rationale
Prednisone is a corticosteroid used to treat inflammation and immune responses, but it is not specifically indicated for the adverse effects of topotecan.
Correct Answer is ["B","D"]
Explanation
Choice A rationale
"QD" is an abbreviation for "once daily" but is not recommended due to potential misinterpretation as "QID" (four times daily), increasing the risk of medication errors.
Choice B rationale
"PO" is an accepted abbreviation for "by mouth" and is widely understood in medical practice, minimizing the risk of misinterpretation and ensuring clear communication of the administration route.
Choice C rationale
"APAP" is an abbreviation for acetaminophen but is not widely recognized and can lead to confusion, especially among patients and healthcare providers unfamiliar with the term.
Choice D rationale
"qhs" is an accepted abbreviation for "at bedtime" and is commonly used in medical practice, ensuring clear communication of the medication's timing without risk of significant misinterpretation. .
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