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?

A) This choice is incorrect because while blood pressure monitoring is essential for clients with chronic kidney disease, it is not specifically related to ESA therapy.

B) This choice is incorrect because serum potassium levels are important in chronic kidney disease, but they are not directly related to ESA therapy.

C) This choice is incorrect because dietary sodium intake is important in managing fluid balance in chronic kidney disease, but it is not directly related to ESA therapy.

D) This choice is correct. ESA therapy stimulates the production of red blood cells, and adequate iron levels are necessary for this process. Clients with chronic kidney disease often have decreased iron levels due to various factors, and iron supplementation is crucial for the success of ESA therapy.

Questions

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