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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Exposing the affected area to air. Exposing the affected area to air is appropriate because it allows the skin to breathe and reduces the risk of skin breakdown. The client should be instructed to change the pad frequently and wash the perineal area with mild soap and water.
Option B, avoiding the application of moisture sealant, may increase the risk of skin breakdown.
Option C, avoiding using an electric room deodorizer, is not related to the situation.
Option D, using scented sprays or perfumes, may cause skin irritation.
Correct Answer is A
Explanation
36 to 48 hours. Lyme disease is caused by the bacterium Borrelia burgdorferi, which is transmitted to humans through the bite of infected black-legged ticks. The tick must be attached to the skin for at least 36 to 48 hours for the bacterium to be transmitted. The nurse should advise the client to seek medical attention promptly.
Choice B is incorrect because the tick must be attached for a longer duration of time for the bacterium to be transmitted.
Choice C is incorrect because the tick must be attached for a longer duration of time for the bacterium to be transmitted.
Choice D is incorrect because the tick must be attached for a longer duration of time for the bacterium to be transmitted.
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