A nurse is reviewing the laboratory data of a client who has chronic renal failure and is to receive epoetin alfa subcutaneously. Which of the following values should the nurse monitor to evaluate the effectiveness of the medication?
Sodium
WBC
Glucose
Hemoglobin
The Correct Answer is D
A. Sodium is not directly related to the effectiveness of epoetin alfa, which stimulates red blood cell production.
B. WBC count is not the primary marker for evaluating epoetin alfa therapy.
C. Glucose is not a key indicator of epoetin alfa effectiveness.
D. Hemoglobin is the key indicator because epoetin alfa is used to stimulate red blood cell production in clients with anemia due to chronic renal failure. The goal is to increase hemoglobin levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Alopecia is not a common adverse effect of atorvastatin.
B. Elevated liver enzymes can occur with atorvastatin use and should be monitored.
C. Dry cough is not associated with atorvastatin, but it is a known side effect of ACE inhibitors.
D. Jaundice can indicate liver dysfunction, a potential side effect of atorvastatin, and should be reported.
E. Muscle weakness can be a sign of rhabdomyolysis, a serious adverse effect of atorvastatin.
Correct Answer is A
Explanation
A. Enoxaparin should be administered subcutaneously in the abdomen at least 2 inches from the umbilicus.
B. Aspiration is not recommended for subcutaneous injections, especially anticoagulants.
C. Massaging the site is contraindicated because it can increase the risk of bruising and tissue damage.
D. The skin fold should be maintained during injection to ensure proper subcutaneous delivery.
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