792
P A R T 8
Drugs acting on the cardiovascular system
C H E C K Y O U R U N D E R S T A N D I N G
Answers to the questions in this chapter can be found in
Appendix A at the back of this book.
MULTIPLE CHOICE
Select the best answer to the following.
1.
After teaching a group of students about red blood
cell production, the instructor determines that the
teaching was effective when the group states that the
rate of red blood cell production is controlled by:
a.
iron.
b.
folic acid.
c.
erythropoietin.
d.
vitamin B
12
.
2.
Red blood cells must be continually produced by the
body because:
a.
the iron within the RBC wears out and must be
replaced.
b.
RBCs cannot maintain themselves and wear out.
c.
RBCs are continuously entering and being lost
from the gastrointestinal tract.
d.
RBCs are processed into bile salts and must be
replaced.
3.
Which of the following would the nurse include
in the teaching plan when describing anaemia to a
person?
a.
a decreased number of or abnormal red blood
cells
b.
a lack of iron in the body
c.
a lack of vitamin B
12
in the body
d.
an excessive number of platelets
4.
Megaloblastic anaemia is a result of insufficient
folic acid or vitamin B
12
, affecting which of the
following?
a.
white blood cell production
b.
vegetarians
c.
rapidly turning over cells
d.
slow-growing cells
5.
The nurse/midwife would expect the doctor to
prescribe epoetin alfa (
Eprex
) as the drug of choice:
a.
for acute blood loss during surgery.
b.
to replace blood loss from traumatic injury.
c.
for treatment of anaemia during breastfeeding.
d.
for treatment of anaemia associated with renal
failure.
6.
A person with anaemia who is given iron salts
could expect to show a therapeutic increase in
haematocrit:
a.
within 72 hours.
b.
within 2 to 3 weeks.
c.
within 6 to 10 months.
d.
within 1 to 2 weeks.
7.
To ensure maximum absorption, a nurse instructs
a person receiving oral iron therapy to avoid taking
the iron with:
a.
protein.
b.
antibiotics.
c.
dairy products.
d.
any other drugs.
8.
After teaching a person with pernicious anaemia
about Vitamin B
12
, therapy, which person’s
statement would indicate that the teaching was
successful?
a.
I can take this pill with breakfast.
b.
I should take this pill at bedtime.
c.
I need to inject this drug subcutaneously every
day.
d.
I need to inject this drug intramuscularly every
5 to 10 days.
MULTIPLE RESPONSE
Select all that apply.
1.
People are often given iron pills by their clinic.
Instructions in giving these pills should include:
a.
taking the drug with milk to avoid
gastrointestinal problems.
b.
the potential for constipation.
c.
keeping these potentially toxic pills away from
children.
d.
taking the drug with antacids to alleviate the
gastrointestinal upset.
e.
having periodic blood tests to evaluate the drug
effect.
f.
being aware that stools may be coloured green.
2.
In a healthy person, very little iron is needed on a
daily basis. Loss of iron is associated with which of
the following?
a.
heavy menstrual flow
b.
bile duct obstruction
c.
internal bleeding
d.
penetrating traumatic injury
e.
bone marrow suppression
f.
alcoholic cirrhosis
