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PHARM > anemia > Flashcards

anemia Flashcards

1
Q

t/f
Platelets are involved in hematopoiesis.

A

t

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2
Q

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Immature RBCs are known as reticulocytes.

A

t

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3
Q

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More than one third of an RBC is composed of hemoglobin

A

t

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4
Q

t/f
Heme, a component of hemoglobin, contains iron

A

t

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5
Q

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Epoetin alfa is a biosynthetic form of erythropoietin.

A

t

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6
Q

t/f
Iron is stored in the liver, spleen, and bone marrow.

A

t

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7
Q

t/f
Dietary iron must be converted by gastric juices before absorption.

A

t

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8
Q

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Orange juice enhances iron absorption.

A

t

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9
Q

t/f
Eggs impair iron absorption.

A

f

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10
Q

t/f
Supplemental iron may be given only in parenteral form.

A

f

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11
Q

What is the lifespan of RBCs?
a) 30 days
b) 60 days
c) 90 days
d) 120 days

A

d

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12
Q
  1. Which of the following is a contraindication for darbepoetin (Aranesp®)?
    a) Controlled hypertension
    b) Hemoglobin levels above 100 mmol/L for cancer patients
    c) Hemoglobin levels above 130 mmol/L for patients with kidney disease
    d) Allergy to oral iron preparations
A

c

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13
Q

Which of the following is NOT an adverse effect of epoetin alfa?
a) Hypertension
b) Headache
c) Joint pain
d) Injection site reaction

A

c

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14
Q

What is the primary function of erythropoietin?
a) Enhancing platelet production
b) Stimulating RBC production
c) Regulating white blood cell count
d) Controlling blood glucose levels

A

b

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15
Q

Which of the following is NOT a dietary source of iron? a) Meats b) Eggs c) Certain vegetables d) Grains

A

b

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16
Q

SATA
Which are common oral iron preparations?
a) Ferrous fumarate (Femiron®)
b) Ferrous gluconate
c) Iron dextran (Dexiron®)
d) Ferrous sulfate (FeSO4)

A

a,b,d

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17
Q

Which foods enhance iron absorption?
a) Orange juice
b) Veal
c) Fish
d) Ascorbic acid
e) all of the above

A

e

18
Q

SATA
What are contraindications for epoetin alfa?
a) Drug allergy
b) Uncontrolled hypertension
c) Hemoglobin levels above 100 mmol/L for cancer patients
d) Risk of thrombosis

A

a,b,d

19
Q

SATA
Which are parenteral iron preparations? a) Iron dextran (Dexiron®) b) Iron sucrose (Venofer®) c) Ferrous sulfate (FeSO4) d) Ferrous fumarate (Femiron®)

A

a,b

20
Q

SATA
Which foods impair iron absorption?
a) Eggs
b) Corn
c) Beans
d) Cereal products containing phytates

A

a,b,d

21
Q

t/f
Iron is used solely for the treatment of iron deficiency syndromes

A

f

22
Q

t/f
Folic acid deficiency is primarily caused by dietary insufficiency.

A

f

23
Q

t/f
Cyanocobalamin is administered exclusively through oral routes for the treatment of anemia.

A

f

24
Q

t/f Folic acid should be administered before determining the actual cause of anemia

A

f

25
Q

t/f
Oral forms of iron should be taken with milk to enhance absorption

A

f

26
Q

What is the most common cause of pediatric poisoning deaths?
a) Lead
b) Iron
c) Arsenic
d) Mercury

A

b

27
Q

Which vitamin is essential for erythropoiesis?
a) Vitamin A
b) Vitamin C
c) Folic acid
d) Vitamin D

A

c

28
Q

How is cyanocobalamin usually administered to treat pernicious anemia?
a) Orally
b) Topically
c) Subcutaneously
d) Intramuscularly

A

d

29
Q

Which of the following is NOT a nursing implication for administering oral iron preparations?
a) Dilute the liquid iron preparations according to manufacturer’s guidelines.
b) Instruct the patient to take iron with milk.
c) Administer oral iron forms between meals for maximum absorption.
d) Encourage patients to eat foods high in iron and folic acid.

A

b

30
Q

SATA
What are potential nursing implications when administering iron dextran?
a) Perform a small test dose before full administration.
b) Administer the dose deeply into a large muscle mass.
c) Monitor for reactions for at least 6 hours after administration.
d) Use the Z-track method for injection.

A

a,b

31
Q

Which therapeutic responses should be monitored when administering iron?
a) Improved nutritional status
b) Decreased weight
c) Decreased activity tolerance
d) Presence of fatigue

A

a

32
Q

SATA
What are common adverse effects of iron supplementation?
a) Headache
b) Constipation
c) Black, tarry stools
d) Increased energy levels

A

a b c

33
Q

t/f
Liquid oral iron preparations may permanently discolor teeth

A

t

34
Q

t/f
Iron dextran is the preferred choice for parenteral iron administration due to its low risk of anaphylactic reactions

A

f

35
Q

Which of the following is NOT a symptom of iron toxicity?
a) Nausea
b) Yellowing of the skin
c) Constipation
d) Black, tarry stools

A

b

36
Q

What is the primary use of folic acid during pregnancy?
a) Preventing iron deficiency
b) Treating pernicious anemia
c) Preventing neural tube defects
d) Treating vitamin C deficiency

A

c

37
Q

SATA
What are potential nursing implications when administering parenteral iron?
a) Monitor for anaphylactic reactions.
b) Administer a test dose before full administration.
c) Administer orally for faster absorption.
d) Use resuscitative equipment in case of reactions.

A

a b d

38
Q

SATA
Which laboratory values should be assessed as part of the baseline evaluation before iron supplementation?
a) Blood glucose levels
b) Serum iron levels
c) Liver function tests
d) Hemoglobin levels

A

b d

39
Q

What should be included in the nutritional assessment of a patient receiving iron supplementation?
a) Evaluation of vitamin D levels
b) Assessment of dietary sources of iron and folic acid
c) Measurement of urinary electrolytes
d) Examination of red blood cell morphology

A

b

40
Q

Which adverse effect is commonly associated with oral iron preparations?
a) Excessive sweating
b) Urinary retention
c) Gastrointestinal upset
d) Hypertension

A

c

PHARM (20 decks)

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