A nurse is caring for a client who has a prescription for epoetin alfa. Which of the following routes should the nurse plan to use for administration?

Intranasal

Oral

Subcutaneous

Transdermal

Answer and Explanation

The Correct Answer is C

A. Epoetin alfa is not administered intranasally.

B.   Epoetin alfa is not administered orally because it would be destroyed by digestive enzymes and have poor absorption.
C.   Epoetin alfa is typically administered subcutaneously, as it is a recombinant human erythropoietin that stimulates red blood cell production.
D.   Epoetin alfa is not administered trans dermally.

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Correct Answer is D

Explanation

A. Dobutamine: Dobutamine is a sympathomimetic medication used to increase cardiac output in conditions such as heart failure or cardiogenic shock. It is not indicated for the management of severe hypertension.

B. Epinephrine: Epinephrine is a sympathomimetic medication used for the management of severe allergic reactions (anaphylaxis), cardiac arrest, and severe asthma exacerbations. It is not indicated for the management of severe hypertension.
C. Dexamethasone: Dexamethasone is a corticosteroid medication used for a variety of

conditions, including inflammation, allergic reactions, and certain cancers. It is not indicated for the management of severe hypertension.
D. Nitroprusside: Nitroprusside is a potent vasodilator used for the rapid reduction of blood pressure in hypertensive emergencies, such as hypertensive crises or malignant hypertension. It acts quickly to dilate both arterial and venous vessels, leading to a rapid decrease in blood pressure. Therefore, it is the appropriate choice for this client with severe hypertension and a severe headache.

A. Verapamil B. Digoxin C. Dopamine D. Amiodarone

Correct Answer is D

Explanation

A. Verapamil: Verapamil is a calcium channel blocker primarily used to treat supraventricular

tachycardias, not ventricular dysrhythmias. It is not typically used for life-threatening ventricular dysrhythmias.
B. Digoxin: Digoxin is a cardiac glycoside used primarily for atrial fibrillation and heart failure, not ventricular dysrhythmias. It is not typically used for life-threatening ventricular
dysrhythmias.

C. Dopamine: Dopamine is a sympathomimetic medication used for hemodynamic support in hypotension and shock. While it may be used in some cases of unstable bradycardia, it is not the first-line medication for life-threatening ventricular dysrhythmias.
D. Amiodarone: Amiodarone is an antiarrhythmic medication used for the treatment of various ventricular and supraventricular dysrhythmias, including life-threatening ventricular
dysrhythmias such as ventricular tachycardia and ventricular fibrillation. It is often used as a first-line medication for these conditions due to its efficacy and safety profile. Therefore, the nurse should anticipate administering amiodarone for the client's life-threatening ventricular dysrhythmia.

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A nurse is caring for a client who has a prescription for epoetin alfa. Which of the following routes should the nurse plan to use for administration?

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Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client who reports a severe headache. The client's blood pressure is 280/160 mm Hg. The nurse should plan to administer which of the following medications?

Correct Answer is D

Explanation

A nurse is caring for a client who has a life-threatening ventricular dysrhythmia. Which of the following medications should the nurse anticipate administering?

Correct Answer is D

Explanation

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