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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

Answer and Explanation

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.

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Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Explanation

Option 1: Rhabdomyolysis

This is the correct answer. The client's new onset of worsening leg pain, weakness, and elevated creatinine kinase (CK) levels are classic signs of rhabdomyolysis, a potential complication of statin therapy. Elevated CK levels are often indicative of muscle damage, which is a hallmark of rhabdomyolysis.

Option 2: Elevated Creatinine Kinase Levels

The elevated CK levels are a significant indication of muscle breakdown, which is consistent with rhabdomyolysis. This is crucial to address because if left untreated, rhabdomyolysis can lead to kidney damage.

A. Aspirate before administering the medication. B. Withhold the medication for an elevated platelet count. C. Monitor INR levels. D. Validate the dosage with a second nurse.

Correct Answer is D

Explanation

A. Aspirating is not necessary for subcutaneous injections, as it is not a deep intramuscular injection.

B. Withholding heparin for an elevated platelet count is unnecessary unless there is a confirmed heparin-induced thrombocytopenia (HIT).

C. INR is not used to monitor heparin therapy. Heparin is monitored using aPTT (activated partial thromboplastin time) or anti-Xa levels.

D. It is standard practice to validate heparin dosage with a second nurse to ensure safety due to the high risk of bleeding associated with this medication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an outpatient clinic is caring for a client. Exhibits Complete the following sentence by using the lists of options. The client has the highest risk for developing dropdown due to dropdown

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Explanation

A nurse is preparing to administer a subcutaneous injection of heparin to a client. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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