A client with chronic renal failure has begun treatment with a colony-stimulating factor. What medication does the nurse anticipate administering to the client that will promote the production of blood cells?
A) Etanercept (Enbrel)
B) infliximab (Remicade)
C) Epoetin alfa (Epogen)
D) Adalimumab (Humira)
C
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Colony-stimulating factors are cytokines that prompt the bone marrow to produce, mature, and promote the functions of blood cells. CSFs enable stem cells in bone marrow to differentiate into specific types of cells such as leukocytes, erythrocytes, and platelets. Pharmacologic preparation of CSFs, such as epoetin alfa (Epogen), is used to promote the natural production of blood cells in people whose own hematopoietic functions have become compromised. The other medications in A, B, and D are tumor necrosis factor inhibitors.
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A nurse assesses a wife who is caring for her husband. She has a Braden Scale score of 9. Which question should the nurse include in this assessment?
a. "Do you have a bedpan at home?" b. "How are you coping with providing this care?" c. "What are you doing to prevent pediculosis?" d. "Are you sharing a bed with your husband?"
Which of the following best defines the term traumatic injury?
a. All trauma patients can be successfully rehabilitated. b. Traumatic injuries cause more deaths than heart disease and cancer. c. Alcohol consumption, drug abuse, or other substance abuse contribute to traumatic events. d. Trauma mainly affects the older adult population.
The risk of ectopic pregnancy is the greatest with the use of what contraceptive measures?
a. Combination pill c. Progesterone IUD b. Norplant d. Tubal ligation
What do parents of preschool children need to understand about discipline?
a. Both parents and the child should agree on the method of discipline. b. Discipline should involve some physical restriction. c. The method of discipline should be consistent with the discipline methods of the child's peers. d. Discipline should include positive reinforcement of desired behaviors.