A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
The erythrocyte sedimentation rate (ESR)
The hematocrit (Hct)
The platelet count
The leukocyte count
The Correct Answer is B
Choice A reason: The erythrocyte sedimentation rate (ESR) is not directly affected by epoetin alfa therapy, which is used to treat anemia.
Choice B reason: Epoetin alfa stimulates erythropoiesis, leading to an increase in red blood cell production, which would be reflected in an increased hematocrit level.
Choice C reason: The platelet count is not directly affected by epoetin alfa therapy.
Choice D reason: The leukocyte count is not directly affected by epoetin alfa therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A reason: Fever can occur if the renal calculus leads to infection, which is a common complication associated with kidney stones.
Choice B reason: Urinary urgency is a symptom that can be associated with renal calculi, especially if the stones are
located in the lower part of the urinary tract.
Choice C reason: Incontinence is not typically a direct symptom of renal calculi, but it may occur secondary to other symptoms or complications.
Choice D reason: Gastrointestinal upset is not a common symptom of renal calculus, although some patients may experience nausea and vomiting.
Choice E reason: Flank pain is a classic symptom of renal calculus, often described as severe and colicky, radiating from the back towards the groin.
Correct Answer is A
Explanation
Choice A reason: Clients with nephrotic syndrome are usually advised to decrease sodium intake to manage edema, not increase it.
Choice B reason: A kidney biopsy may be prescribed to determine the cause of nephrotic syndrome, so this statement does not indicate a need for further teaching.
Choice C reason: Swelling, particularly in the face, is a common symptom of nephrotic syndrome due to fluid retention.
Choice D reason: Losing protein in the urine is a hallmark of nephrotic syndrome, so this statement is accurate.
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