A nurse is caring for a client who has been taking epoetin alfa for 3 months.
Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?

AST.

Troponin.

T4.

Hgb.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

AST (Aspartate Aminotransferase) is a liver enzyme and its levels are used to assess liver function, not the effectiveness of epoetin alfa.

Choice B rationale:

Troponin is a cardiac marker used to diagnose heart attacks. It has no relation with the effectiveness of epoetin alfa.

Choice C rationale:

T4 (Thyroxine) is a thyroid hormone. Its levels indicate thyroid function, not the effectiveness of epoetin alfa.

Choice D rationale:

Hgb (Hemoglobin) levels are used to assess the effectiveness of epoetin alfa. Epoetin alfa is a medication that stimulates the production of red blood cells, thereby increasing hemoglobin levels in the blood. Normal hemoglobin levels are 13.5 to 17.5 g/dL in men and 12.0 to 15.5 g/dL in women.

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Correct Answer is D

Explanation

A. Inject the medication at least 5 cm (2 in) from the umbilicus. B. Use the Z-track technique to administer the medication. C. Give the medication without aspirating prior to injection. D. Administer the medication with a 27-gauge '/,-inch needle.

Correct Answer is B

Explanation

Choice A rationale:

Injecting the medication at least 5 cm (2 in) from the umbilicus is not a standard guideline for IM injections. The site of injection depends on factors such as the volume of medication and patient’s age and muscle mass.

Choice B rationale:

Using the Z-track technique to administer the medication is correct. This technique helps to seal the medication in muscle tissue, reducing leakage into subcutaneous tissue.

Choice C rationale:

Giving the medication without aspirating prior to injection is not recommended. Aspiration ensures that the needle is not in a blood vessel before injecting.

Choice D rationale:

Administering the medication with a 27-gauge '/,-inch needle may not be appropriate for an IM injection, especially for adults. A longer and larger gauge needle is typically used for IM injections.

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A nurse is caring for a client who has been taking epoetin alfa for 3 months.Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?

Nursing Test Bank

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A nurse is caring for a client who has been taking epoetin alfa for 3 months.
Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?