A patient with aplastic anemia is scheduled to receive an injection of erythropoietin (Epogen). The patient inquires about the purpose of the injection.
How should the nurse respond?
“It will increase your energy while your body is recovering from the anemia.”.
“It will stimulate your body to produce more of its own red blood cells.”.
“It works like a blood transfusion to give you extra red blood cells.”.
“It will inhibit the protein that is attacking your blood cells.”. .
The Correct Answer is B
Choice A rationale
While erythropoietin (Epogen) can help improve symptoms of anemia, such as fatigue, it does not directly increase energy levels.
Choice B rationale
Erythropoietin (Epogen) stimulates the body to produce more of its own red blood cells. This is its primary function and the reason it is used in the treatment of anemia.
Choice C rationale
Erythropoietin (Epogen) does not work like a blood transfusion. While both can increase the number of red blood cells, erythropoietin stimulates the body to produce more of its own red blood cells, while a blood transfusion involves adding red blood cells from a donor.
Choice D rationale
Erythropoietin (Epogen) does not inhibit proteins that attack blood cells. It works by stimulating the production of more red blood cells.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Holding tube feeding 1 hour before and 2 hours after to avoid clumping is not a specific nursing intervention when administering Dilantin (phenytoin)1011.
Choice B rationale
Monitoring the patient for lethargy and drowsiness is important as these may indicate a high drug level of Dilantin (phenytoin), which can lead to toxicity.
Choice C rationale
Informing the patient that they may experience increased and large amounts of urinary output is not a specific nursing intervention when administering Dilantin (phenytoin)1011.
Choice D rationale
Advising the patient to use an extra soft toothbrush to avoid gum bleeding is a general recommendation for patients on anticoagulant therapy, not specifically for those taking Dilantin (phenytoin)1011.
Correct Answer is B
Explanation
Choice A rationale
Gastroesophageal reflux disease (GERD) is a chronic condition where stomach acid frequently flows back into the esophagus, irritating the lining and causing symptoms like heartburn. Protonix (pantoprazole) is a proton pump inhibitor that decreases the amount of acid produced in the stomach. While it is used to treat GERD, it is not typically used prophylactically in trauma patients.
Choice B rationale
Stress ulcers are a type of peptic ulcer that is particularly common in critically ill or severely stressed patients, such as those with severe trauma like an automobile accident. These ulcers occur when the body’s physical stress leads to increased gastric acid secretion, which can damage the gastric mucosa and lead to ulcers. Protonix, by reducing stomach acid, can help prevent these ulcers in high-risk patients. This is why it is often administered prophylactically in severe trauma cases.
Choice C rationale
Dumping syndrome is a condition that can occur after surgery to remove all or part of your stomach or after surgery to bypass your stomach to help you lose weight. It’s also known as rapid gastric emptying. Protonix is not typically used to prevent dumping syndrome.
Choice D rationale
Gastritis is an inflammation of the stomach lining. While Protonix can be used to treat gastritis, it is not typically used prophylactically for this condition in trauma patients.
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