ALMIRANTE, MARIAH KAYE PHARMACOLOGY

BSN-2 A7 SAS #20

ANSWER RATIONALE

1. A. Ferrous gluconate is not advised to be taken with antacids, whole

grain cereals, and milk.

2. A. Iron supplements are advised to be taken with Vitamin C because

the vitamin aids with iron absorption.

3. B. The nurse should explain how the epoetin alfa (epogen) works.

4. D. Erythropoetin sends messages that are used to regulate

hematopoesis.

5. D. Antineoplastic drugs often used in chemotherapy can induce anemia

which is why patients are often given epoetin alfa to treat the anemia.

6. A. The three categories of blood loss are hemorrhage, increased

erythrocyte destruction, and impaired erythrocyte.

7. A. Vitamin B12 deficiency can cause pernicious anemia which is

characterized by memory loss, confusion, tingling or numb limbs, and
mood shifts.

8. B. The only potassium-saving diuretic advised for children is

spirolactone.

9. C. Muscle weakness could be a sign of hypokalemia which needs

urgent intervention.

10. A. The nurse should document, withdraw, and notify the doctor as soon
as possible.

11. D. Loop diuretics treat edema and conditions associated to fluid

overload.

12. C. Loop diuretics are effective with inhibiting sodium reabsorption within
the nephron because it inhibits the sodium-potassium-chloride
cotransporter.

13. B. A dangerously low level of potassium requires urgent medical

attention because it can be fatal.

14. D. Patients must monitor the fluids they’re drinking - not too little that
causes dehydration and not too much which could worsen their
 problem.

15. B AND If a patient receiving a loop diuretic exhibits hypocalcemia,

D hypokalemia, or hypomagnesemia, the nurse shouldobserve the
patient.