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
Explanation
Choice A reason: General anesthesia can cause urinary retention due to its effects on the nervous system, which may temporarily impair the normal re?exes that control urination. This is particularly relevant in the immediate postoperative period.
Choice B reason: While liver failure can have many systemic effects, it is not directly associated with an increased risk of urinary retention. Urinary retention is more commonly related to factors affecting the urinary tract or nervous system.
Choice C reason: A diet high in calcium oxalate can contribute to kidney stones, but it does not directly increase the risk of urinary retention. Urinary retention typically involves an obstruction or nerve dysfunction.
Choice D reason: Antibiotic treatment for a skin infection, even one caused by Staphylococcus aureus, would not typically result in urinary retention. Urinary retention is usually related to urinary tract obstructions, medications, or nerve issues.
Correct Answer is A
Explanation
Choice A reason: Black Americans have been found to have a higher prevalence of end-stage renal disease (ESRD) due to diabetes mellitus compared to other ethnic groups. This is atributed to a combination of factors including higher rates of diabetes, hypertension, and genetic predispositions that contribute to kidney damage.
Choice B reason: While Asian Americans do have a significant incidence of diabetes mellitus, they are not the group with the highest prevalence of ESRD due to diabetes. However, within the Asian American population, there are subgroups that have higher rates of ESRD, which may be in?uenced by genetic and environmental factors.
Choice C reason: Non-Hispanic Whites have a lower prevalence of ESRD due to diabetes mellitus when compared to Black Americans. However, they still constitute a significant portion of the ESRD population due to the larger size of this demographic group in the general population.
Choice D reason: Hispanic/Latinos also su?er from a high prevalence of diabetes mellitus, which can lead to ESRD. However, the rate of progression to ESRD due to diabetes is not as high as in the Black American population.
Socioeconomic factors and access to healthcare may in?uence these outcomes.
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