A nurse is caring for a client who has chronic renal disease and is taking epoetin alfa (Procrit). Which laboratory result would be used to assess the effectiveness of this medication?

Red blood cells (RBC) and hemoglobin (Hg)

Leukocyte count (WBC)

Erythrocyte sedimentation rate (ESR)

Thrombocyte count

Answer and Explanation

The Correct Answer is A

A. Red blood cells (RBC) and hemoglobin (Hg) levels are directly affected by epoetin alfa, which stimulates red blood cell production in the bone marrow, making these values essential for assessing the medication's effectiveness.

B. The leukocyte count (WBC) is not relevant to the effects of epoetin alfa, as this medication primarily influences erythropoiesis rather than white blood cell production.

C. The erythrocyte sedimentation rate (ESR) is a non-specific test used to detect inflammation but does not provide information regarding the effectiveness of epoetin alfa.

D. The thrombocyte count does not assess the effectiveness of epoetin alfa, as this medication is specifically aimed at increasing red blood cell production.

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Correct Answer is D

Explanation

A. Milk and cheese are low in iron content and are not recommended for increasing iron levels in clients with iron-deficiency anemia.

B. Whole grain breads may contain some iron but are not as high in iron as other food sources.

C. Fresh fruits do not provide significant amounts of iron and are not a good source for addressing iron deficiency.

D. Red meat and organ meat are excellent sources of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant sources, making them the best choice for increasing iron intake in clients with iron-deficiency anemia.

A. Ensure comfortable seating at eye level for the client and nurse. B. Provide seating for the client so that the client faces a strong light. C. Ensure that the distance between the client and nurse is at least 7 ft (2.1 meters). D. Place a chair for the client across from the nurse's desk. E. Set the room temperature at a comfortable level. F. Remove distracting objects from the interviewing area.

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

Explanation

A. Ensure comfortable seating at eye level for the client and nurse: Establishes a non-intimidating environment, helping the client feel more at ease.

B. Provide seating for the client so that the client faces a strong light: Incorrect; this may cause discomfort and make the client feel scrutinized.

C. Ensure that the distance between the client and nurse is at least 7 ft: Too great a distance for effective communication; ideal distance is 3-4 feet.

D. Place a chair for the client across from the nurse's desk: Creates a formal, potentially intimidating setting, discouraging openness.

E. Set the room temperature at a comfortable level: Ensures physical comfort, aiding in client relaxation and openness.

F. Remove distracting objects from the interviewing area: Minimizes potential distractions, keeping the client focused and the environment conducive to communication.

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A nurse is caring for a client who has chronic renal disease and is taking epoetin alfa (Procrit). Which laboratory result would be used to assess the effectiveness of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with iron-deficiency anemia. When teaching the client about nutrition, the nurse should educate the client which of the following foods contains the most amount of iron?

Correct Answer is D

Explanation

The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health. Which interventions are appropriate? Select three options that apply.

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

Explanation

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