McKenna's Pharmacology for Nursing, 2e

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P A R T 8  Drugs acting on the cardiovascular system

C H E C K Y O U R U N D E R S T A N D I N G

6. A person with anaemia who is given iron salts could expect to show a therapeutic increase in haematocrit: a. within 72 hours. b. within 2 to 3 weeks. c. within 6 to 10 months. d. within 1 to 2 weeks. 7. To ensure maximum absorption, a nurse instructs a person receiving oral iron therapy to avoid taking the iron with: a. protein. b. antibiotics. c. dairy products. d. any other drugs. 8. After teaching a person with pernicious anaemia about Vitamin B 12 , therapy, which person’s statement would indicate that the teaching was successful? a. I can take this pill with breakfast. b. I should take this pill at bedtime. c. I need to inject this drug subcutaneously every day. d. I need to inject this drug intramuscularly every 5 to 10 days. 1. People are often given iron pills by their clinic. Instructions in giving these pills should include: a. taking the drug with milk to avoid gastrointestinal problems. b. the potential for constipation. c. keeping these potentially toxic pills away from children. d. taking the drug with antacids to alleviate the gastrointestinal upset. e. having periodic blood tests to evaluate the drug effect. f. being aware that stools may be coloured green. 2. In a healthy person, very little iron is needed on a daily basis. Loss of iron is associated with which of the following? MULTIPLE RESPONSE Select all that apply.

Answers to the questions in this chapter can be found in Appendix A at the back of this book.

MULTIPLE CHOICE Select the best answer to the following.

1. After teaching a group of students about red blood cell production, the instructor determines that the teaching was effective when the group states that the rate of red blood cell production is controlled by: a. iron. b. folic acid. c. erythropoietin. d. vitamin B 12 . 2. Red blood cells must be continually produced by the body because: a. the iron within the RBC wears out and must be replaced. b. RBCs cannot maintain themselves and wear out. c. RBCs are continuously entering and being lost from the gastrointestinal tract. d. RBCs are processed into bile salts and must be replaced. 3. Which of the following would the nurse include in the teaching plan when describing anaemia to a person? a. a decreased number of or abnormal red blood cells b. a lack of iron in the body c. a lack of vitamin B 12 in the body d. an excessive number of platelets 4. Megaloblastic anaemia is a result of insufficient folic acid or vitamin B 12 , affecting which of the following? a. white blood cell production b. vegetarians c. rapidly turning over cells d. slow-growing cells 5. The nurse/midwife would expect the doctor to prescribe epoetin alfa ( Eprex ) as the drug of choice: a. for acute blood loss during surgery. b. to replace blood loss from traumatic injury. c. for treatment of anaemia during breastfeeding. d. for treatment of anaemia associated with renal failure.

a. heavy menstrual flow b. bile duct obstruction c. internal bleeding

d. penetrating traumatic injury e. bone marrow suppression f. alcoholic cirrhosis