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 C

Explanation

Choice A reason: Instructing the client to drink 1 liter of fluid each day may not be sufficient for someone with cystitis. Increasing fluid intake helps ?ush out bacteria from the urinary tract, and the general recommendation is to drink about 2 liters of water per day.

Choice B reason: While taking antibiotics is a crucial part of treating bacterial cystitis, the client should complete the full course of antibiotics prescribed, not just until symptoms such as dysuria disappear. This ensures the infection is fully treated and reduces the risk of resistance.

Choice C reason: Advising the client to avoid carbonated beverages is appropriate because such drinks can irritate the bladder and exacerbate symptoms of cystitis. It is also recommended to avoid ca?eine, alcohol, and spicy foods until the infection clears.

Choice D reason: There is no specific recommendation for clients with cystitis to drink tomato juice each day. In fact, tomato juice is acidic and may irritate the bladder, similar to carbonated beverages.

A. Dribbling of urine B. Color of the urine C. Voiding patern D. Proteinuria E. Bladder distension

Correct Answer is ["A","C","E"]

Explanation

Choice A reason: Dribbling of urine can indicate urinary retention, as it may suggest that the bladder is not emptying

completely during voiding.

Choice B reason: While the color of the urine can provide information about hydration status and other health issues, it is not a direct indicator of urinary retention.

Choice C reason: The voiding patern is an important assessment for urinary retention. Infrequent voiding or small amounts despite a full bladder can be signs of this condition.

Choice D reason: Proteinuria is not typically used as an assessment for urinary retention. It can indicate kidney damage or disease but does not directly relate to the bladder's ability to empty.

Choice E reason: Bladder distension can be observed and palpated in cases of urinary retention, as the bladder may become enlarged due to the accumulation of urine.

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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 planning care for a client who has cystitis. Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

A nurse is caring for older adult clients at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is caring for a group of clients who have been diagnosed with urinary retention. Which of the following underlying conditions place these clients at risk for urinary retention? (Select all that apply.)

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