This topic contains a solution. Click here to go to the answer

Author Question: A patient with renal failure is undergoing chronic hemodialysis. The patient's hemoglobin is 10.6 ... (Read 51 times)

rlane42

  • Hero Member
  • *****
  • Posts: 594
A patient with renal failure is undergoing chronic hemodialysis. The patient's hemoglobin is 10.6 gm/dL. The provider orders sodiumferric gluconate complex (SFGC Ferrlecit). What will the nurse expect to do?
 
  a. Administer the drug intravenously with erythropoietin.
  b. Give a test dose before each administration of the drug.
  c. Have epinephrine on hand to treat anaphylaxis if needed.
  d. Infuse the drug rapidly to achieve maximum effects quickly.

Question 2

A nurse is caring for a patient with hemophilia A who has been admitted for bleeding into the knee joint.
 
  The prescriber has ordered intravenous factor VIIa (NovoSeven RT). A nursing student wants to know why this patient is not receiving factor VIII. Which statement by the nurse is correct?
  a. Factor VIIa is stronger than factor VIII and will work faster.
  b. Factor VIII is used for prophylaxis, and factor VIIa is used for acute episodes.
  c. Factor VIIa is used when patients develop antibodies against factor VIII.
  d. Factor VIIa provides immune tolerance therapy so that factor VIII will be more effective.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

amanda_14

  • Sr. Member
  • ****
  • Posts: 342
Answer to Question 1

ANS: A
SFGC is given parenterally for iron deficiency anemia in patients undergoing chronic hemodialysis. It is always used in conjunction with erythropoietin to stimulate production of red blood cells (RBCs). A test dose is given only with the initial dose and is not necessary with subsequent doses. Anaphylaxis is not a common side effect. The drug should be infused slowly.

Answer to Question 2

ANS: C
When patients develop antibodies against factor VIII, activated factor VII is used, because it has the same actions as factor VIII. Factor VIIa is not stronger than factor VIII. It is not used for prophylaxis only. Immune tolerance therapy describes the use of repeated administration of factor replacement products to eliminate inhibitor production.





 

Did you know?

Adults are resistant to the bacterium that causes Botulism. These bacteria thrive in honey – therefore, honey should never be given to infants since their immune systems are not yet resistant.

Did you know?

Congestive heart failure is a serious disorder that carries a reduced life expectancy. Heart failure is usually a chronic illness, and it may worsen with infection or other physical stressors.

Did you know?

Carbamazepine can interfere with the results of home pregnancy tests. If you are taking carbamazepine, do not try to test for pregnancy at home.

Did you know?

HIV testing reach is still limited. An estimated 40% of people with HIV (more than 14 million) remain undiagnosed and do not know their infection status.

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

For a complete list of videos, visit our video library