Which patients are eligible to receive erythropoiesis stimulating agents? (Select all that apply.)
a. All patients with nonmyeloid malignancies who require transfusions
b. All patients with nonmyeloid malignancies whose chemotherapy is palliative
c. All patients whose goal of therapy is curative
d. All patients with nonmyeloid malignancies and chemotherapy-induced anemia
e. All patients with leukemias or myeloid malignancies
ANS: A, B, D
Patients who have nonmyeloid malignancies who require transfusions, whose therapy is considered palliative, and who have chemotherapy-induced anemia are eligible for ESAs. Because ESAs are potentially lethal drugs, giving them to patients who expect a cure is not recommended. ESAs also are not given to patients with leukemias or myeloid malignancies, because the drugs can stimulate proliferation of these cancers.
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While attending a meeting which focused on global health initiatives the status of the millennial development goal to ensure environmental stability was reviewed. What information indicates that action is being taken to address this goal?
1. Carbon dioxide emissions have reduced by 10% over the last quarter. 2. The number of deaths of school age children has decreased 1% worldwide. 3. Enrollment in public school systems in South Africa have increased by 15%. 4. Water purification programs have been implemented in 15 cities in West Africa. 5. Portable sanitation stations have been installed in small towns along the East African border.
The psychiatric forensic nurse has been asked by the defendant's lawyer to determine the client's
legal sanity. The priority task of the nurse will be to a. determine whether the defendant understands the legal charges and is capable of assisting in his own defense. b. reconstruct the defendant's mental state at the time of the crime. c. presents a danger to self or others in the immediate future. d. determine whether a crime has been committed.
How should the nurse respond when asked by the mother of a child with beta-thalassemia why the child is receiving deferoxamine?
a. "To improve the anemia.". b. "To decrease hepatosplenomegaly.". c. "To prevent organ damage.". d. "To prepare your child for a bone marrow transplant.".
Every time the nurse enters the room of a postpartum client who gave birth three hours ago, the client asks something else about her birth experience. The nurse should:
A. Answer questions quickly and try to divert her attention to other subjects. B. Review documentation of the birth experience and discuss it with her. C. Contact the physician to warn him that the client might want to file a lawsuit due to her preoccupation with her birth experience. D. Submit a referral to social services because you are concerned about obsessive behavior.