The hemodialysis client is scheduled to receive weekly injections of epoetin. Which is the most important consideration to be taken by the nurse in the administration of this medication?

Administer with low-dose aspirin to prevent clot formation.

Administer immediately after dialysis.

Monitor complete blood count prior to dose.

Schedule injection on nondialysis day.

Answer and Explanation

The Correct Answer is D

Schedule injection on a nondialysis day. Epoetin is a medication used to stimulate the production of red blood cells. It is important to administer the medication on the day that the client is not receiving dialysis to prevent the medication from being removed from the bloodstream during the dialysis process.

Administering epoetin immediately after dialysis, choice B may result in decreased effectiveness.

Administering with low-dose aspirin, choice A, is not a standard recommendation for the administration of epoetin.

Monitoring the complete blood count prior to the dose, choice C is not the most important consideration when administering epoetin.

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Correct Answer is A

Explanation

Level of consciousness is improving. The effectiveness of mannitol treatment for a client with increased intracranial pressure can be assessed through the improvement of the level of consciousness. Mannitol is an osmotic diuretic that reduces cerebral edema and intracranial pressure. It works by increasing the osmotic pressure in the bloodstream, which draws fluid out of the brain and into the bloodstream. The reduction of intracranial pressure helps improve cerebral perfusion and blood flow. Therefore, improving the client's level of consciousness is the most important assessment finding to determine the effectiveness of mannitol treatment.

B is not the correct answer because a rise in blood pressure is not an indicator of the effectiveness of mannitol treatment.

C is not the correct answer because increased urine output is a side effect of mannitol treatment and does not necessarily indicate effectiveness.

D is not the correct answer because hyperpyrexia is not a symptom that is treated with mannitol.

A. The client takes a furosemide with the evening medications. B. The client uses the Credé's maneuver when urinating at bedtime. C. The client takes 8 oz of water after dinner with her evening medications. D. The client urinates for the evening while getting ready for bed.

Correct Answer is A

Explanation

The client takes furosemide with the evening medications. Nocturia, or the need to wake up at night to urinate, can be caused by various factors. In this case, the client's medication, furosemide, is a diuretic that can increase urine output and cause nocturia. The other choices do not explain the cause of the client's nocturia.

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The hemodialysis client is scheduled to receive weekly injections of epoetin. Which is the most important consideration to be taken by the nurse in the administration of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with increased intracranial pressure is receiving mannitol via intravenous infusion. Which assessment finding is most important in determining the effectiveness of this treatment?

Correct Answer is A

Explanation

The nurse is obtaining a history on a client stating nocturia. When evaluating the client's evening behaviors, which may be the cause of the problem?

Correct Answer is A

Explanation

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