NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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Which is NOT a recommended action for managing anemia in chemotherapy patients?

  1. Initiate treatment when Hgb < 10

  2. Use for curative intent

  3. Use the lowest dose needed to avoid RBC transfusions

  4. Assess serum ferritin, TSAT, and TIBC prior to use

The correct answer is: Use for curative intent

This is because anemia in chemotherapy patients is usually treated symptomatically and not necessarily with curative intent. Other options, such as initiating treatment when Hgb is low and using the lowest effective dose, are important recommendations to prevent and manage anemia in these patients. Assessing serum ferritin, TSAT, and TIBC prior to use is also important for determining the best treatment plan, but it is not the recommended action for managing anemia in chemotherapy patients.

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