A nurse is providing care for several patients on an acute ...

[nautica902]

A nurse is providing care for several patients on an acute medical unit of a hospital. Which of the following patients would be most likely to benefit from hematopoietic growth factors?
 
  A)
  A 51-year-old female patient with liver failure secondary to hepatitis
  B)
  A 61-year-old female patient with end-stage renal cancer
  C)
  A 55-year-old obese male patient with peripheral neuropathy secondary to diabetes
  D)
  A 44-year-old man with a newly diagnosed brain tumor

Question 2

A patient diagnosed with low-risk chronic lymphocytic leukemia (CLL) has recently developed thrombocytopenia. One of the medications utilized to treat this would be
 
  A)
  dexamethasone, a corticosteroid.
  B)
  cisplatin, a chemotherapeutic.
  C)
  vincristine, a Vinca alkaloid.
  D)
  doxorubicin, a cytotoxic antibiotic.

[tanna.moeller]

Answer to Question 1

Ans:
B

Feedback:

Hematopoietic growth factors are commonly used in cases of kidney disease and cancer. Erythropoietin (EPO) is a colony-stimulating factor that stimulates red blood cell production. As a review, erythropoietin is an essential hormone for red cell production. Without it, definitive erythropoiesis does not take place. Under hypoxic conditions, the kidney will produce and secrete erythropoietin to increase the production of red blood cells. With cancer of the kidney, the kidney is unable to perform its normal function. They are not as clearly indicated in cases of liver disease, diabetes, or brain tumors.

Answer to Question 2

Ans:
A

Feedback:

Complications of CLL include thrombocytopenia and may require treatment with corticosteroids or splenectomy. None of the other medications are used for treatment of CLL.

[nautica902]

Excellent

[T4T]

TYSM