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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Flank pain is a common symptom of PKD due to the enlargement of cysts within the kidneys.

Choice B reason: Confusion is not a direct symptom of PKD but could be related to complications such as severe hypertension or toxins in the blood due to decreased kidney function.

Choice C reason: Hypotension is not typically associated with PKD; in fact, hypertension is a more common finding due to the disease's impact on kidney function.

Choice D reason: Urinary retention is not a typical finding in PKD. Instead, symptoms like hematuria (blood in the urine) and increased urinary frequency may occur.

A. Measure the client's blood pressure to ensure it is higher in the left arm than the right. B. Check the brachial and radial pulses of the left arm simultaneously. C. Auscultate the antecubital fossa using a Doppler stethoscope. D. Auscultate the site for a bruit.

Correct Answer is D

Explanation

Choice A reason: Measuring blood pressure di?erences is not a method to assess the patency of an AV graft.

Choice B reason: Checking pulses is important but does not confirm the patency of the AV graft.

Choice C reason: Using a Doppler stethoscope at the antecubital fossa is not the standard method for assessing AV graft patency.

Choice D reason: Auscultating for a bruit at the site of the AV graft is a common and non-invasive way to assess for patency.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has polycystic kidney disease (PKD). Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is caring for a client who has a new arteriovenous (AV) graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft?

Correct Answer is D

Explanation

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