A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease.
Which of the following actions should the nurse plan to take?

Discard the vial of medication if the solution is cloudy.

Shake the vial of medication to dissolve particulates.

Dilute the vial of medication with sterile water.

Thaw the medication in the vial 30 min before administration.

Answer and Explanation

The Correct Answer is A

Discard the vial of medication if the solution is cloudy.

This is because epoetin alfa should not be used if it has been frozen or if it has changed color or has particles in it.

Choice B is wrong because the vial should not be shaken before use.

Choice C is wrong because epoetin alfa should not be diluted with sterile water or any other liquid.

Choice D is wrong because epoetin alfa should not be frozen and therefore does not need to be thawed before administration.

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Correct Answer is C

Explanation

The correct answer is C. "I should stay upright for at least 15 minutes after taking this medication."

Choice A rationale:

Black stools are a common side effect of iron supplements and do not usually require notification of the provider unless accompanied by other symptoms such as pain or gastrointestinal bleeding.

Choice B rationale:

Iron supplements should not be taken with milk because calcium can interfere with the absorption of iron, reducing its effectiveness.

Choice C rationale:

Staying upright for at least 15 minutes after taking ferrous gluconate helps prevent the risk of esophageal irritation or discomfort, which indicates the client's correct understanding of this key instruction.

Choice D rationale:

Taking an antacid with ferrous gluconate is not recommended because antacids can interfere with the absorption of iron, reducing its efficacy.

Choice E rationale:

This is the same as Choice D and also incorrect for the same reason regarding the interaction between antacids and iron absorption.

A. Administer the medication over 2 hr. B. Prime the tubing with 0.9% sodium chloride. C. Discard the medication if it is yellow. D. Use a gravity flow set. E. Use a gravity flow set.

Correct Answer is A

Explanation

The nurse should administer the medication over 2 hr because amphotericin B lipid complex should be infused slowly intravenously.

Choice B is wrong because priming the tubing with 0.9% sodium chloride is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.

Choice C is wrong because discarding the medication if it is yellow is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.

Choice D is wrong because a gravity flow set is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.

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A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Ferrous Gluconate Client Teaching. A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is A

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A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease.
Which of the following actions should the nurse plan to take?