Author Question: A prescriber has ordered deferasirox (Exjade) to treat iron overload associated with chronic blood ... (Read 34 times)

Jipu 123 · **on:** Jul 23, 2018

A prescriber has ordered deferasirox (Exjade) to treat iron overload associated with chronic blood transfusions. The nurse learns that the patient takes cholestyramine to reduce cholesterol. The nurse will contact the provider to request an order to:

a. increase the cholestyramine dose.
b. increase the deferasirox dose.
c. monitor cholesterol levels.
d. monitor liver function tests.

Question 2

A patient reported to have been exposed to mustard gas is brought to the emergency department. The patient's skin is red and swollen with small blisters, and the patient's eyes are red and tearing.

The patient has a runny nose and a dry, barking cough. What should the nurse's initial action be?
a. Prepare for renal dialysis.
b. Provide oxygen and prepare for mechanical ventilation.
c. Remove the patient's clothing and clean the skin with soap and water.
d. Rush the patient to the intensive care unit for cardiorespiratory monitoring.

kaykay69 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Cholestyramine can reduce absorption of deferasirox; if the combination cannot be avoided, the dose of deferasirox should be increased. Increasing the dose of cholestyramine will only worsen the problem. It is not necessary to monitor the cholesterol level. Liver function testing should be routine with deferasirox administration, but not because of the combination of this drug with cholestyramine.

Answer to Question 2

ANS: C
Patients exposed to sulfur mustard should undress immediately and wash three times with soap and water. Renal dialysis is not indicated. Oxygen may be useful but is not as important as decontamination. Rushing the patient to the ICU should not be the initial action.