A client is receiving epoetin alfa therapy as part of the management of anemia. The nurse should monitor the client for which potential side effect of this medication?

Hypertension

Hyperkalemia

Hypoglycemia

Hypocalcemia

Answer and Explanation

The Correct Answer is A

A) This choice is correct. Epoetin alfa is a synthetic form of erythropoietin, a hormone that stimulates red blood cell production. One of the potential side effects of this medication is an increase in blood pressure (hypertension).

B) This choice is incorrect because hyperkalemia (high potassium levels) is not a common side effect of epoetin alfa therapy.

C) This choice is incorrect because hypoglycemia (low blood sugar) is not a common side effect of epoetin alfa therapy.

D) This choice is incorrect because hypocalcemia (low calcium levels) is not a common side effect of epoetin alfa therapy.

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Correct Answer is D

Explanation

A) This choice is incorrect because administering pain medication addresses the pain associated with the vaso-occlusive crisis, but the priority is to improve oxygenation first.

B) This choice is incorrect because warm compresses may provide comfort, but they do not directly address the underlying issue of vaso-occlusion and oxygen deficiency.

C) This choice is incorrect because although increasing fluid intake can help improve blood flow, it does not take precedence over addressing the oxygen deficiency.

D) This choice is correct because initiating oxygen therapy is the first priority in managing a vaso-occlusive crisis in a client with sickle cell anemia. It helps improve oxygenation and tissue perfusion, which are crucial during this crisis.

Questions

A. Serum ferritin levels B. Erythrocyte sedimentation rate (ESR) C. Total iron-binding capacity (TIBC) D. White blood cell count (WBC)

Correct Answer is A

Explanation

A) This choice is correct. Serum ferritin levels are used to assess the body's iron stores. Ferritin is a protein that stores iron in the body, and low levels of serum ferritin indicate iron deficiency.

B) This choice is incorrect because the erythrocyte sedimentation rate (ESR) is a nonspecific indicator of inflammation and is not directly related to iron stores.

C) This choice is incorrect because total iron-binding capacity (TIBC) measures the amount of iron that can be bound to transferrin, a protein that transports iron in the blood, but it does not directly assess iron stores.

D) This choice is incorrect because the white blood cell count (WBC) is not directly related to iron stores or the evaluation of anemia.

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A client is receiving epoetin alfa therapy as part of the management of anemia. The nurse should monitor the client for which potential side effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with sickle cell anemia is experiencing a vaso-occlusive crisis. Which intervention should the nurse implement first?

Correct Answer is D

Explanation

A client with anemia is undergoing diagnostic evaluation. The nurse anticipates that which laboratory test will be ordered to assess the body's iron stores?

Correct Answer is A

Explanation

A client with anemia is experiencing headaches and dizziness. A nurse should suspect which type of anemia?

A nurse is assessing a client with anemia, and the client reports a history of chronic alcoholism. Which type of anemia is most likely to be associated with alcoholism?

A client with anemia complains of fatigue and weakness. Which additional assessment finding is commonly associated with this condition?

A nurse is caring for a client with anemia who is experiencing fatigue and weakness. The nurse should recommend which activity to conserve energy and manage the symptoms?

A client presents with signs of hemolysis, including jaundice and an elevated bilirubin level. Which type of anemia is most likely to be associated with these findings?

A client with anemia is prescribed ferrous sulfate, an oral iron supplement. The nurse instructs the client to take the medication on an empty stomach. Which beverage should the nurse recommend the client to avoid while taking the supplement?

A nurse is caring for a client diagnosed with iron-deficiency anemia. The client asks the nurse about dietary changes to improve their condition. Which food item should the nurse recommend to the client to increase their iron intake?

A nurse is teaching a client with iron-deficiency anemia about dietary sources of iron. Which food items should the nurse recommend? Select all that apply.