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 B

Explanation

A decrease in grasp strength. Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. Common assessment findings include numbness, tingling, and pain in the hand and fingers, weakness in the hand, and a decrease in grasp strength.

Choice A, pain radiating down the dorsal surface of the forearm, is not the correct answer because it is a common symptom of tennis elbow.

Choice C, inability to flex index and middle fingers, is not the correct answer because it is a symptom of trigger finger.

Choice D, tenderness in the affected wrist, is not the correct answer because it is a common symptom of wrist sprains or strains.

A. Tissue hypoxia. B. Cardiac failure. C. Hypovolemia. D. Infection.

Correct Answer is C

Explanation

Hypovolemia. Following a serious thermal burn, the nurse takes action to prevent hypovolemia, which can result from fluid loss due to the burn. Hypovolemia can lead to hypoperfusion of vital organs, including the kidneys, and can cause acute renal failure. Preventing hypovolemia is critical to preventing other complications such as tissue hypoxia, cardiac failure, and infection.

A. Tissue hypoxia and cardiac failure are consequences of hypovolemia due to decreased blood flow to organs.

D. Infection is not the immediate complication to prevent but is a potential complication following burn injury.

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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 is diagnosed with carpal tunnel syndrome. Which of the following assessment findings would the nurse expect?

Correct Answer is B

Explanation

Following a serious thermal burn, which complication will the nurse take action to prevent first?

Correct Answer is C

Explanation

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?

The nurse is caring for clients with spinal deformities. Which type of deformity would have the most significant consequences on the respiratory system?

A client is coming to the office to have a growth removed by the doctor. The client asks "What does cryosurgery do to the growth?" What is the correct response?

Which of the following is a true statement regarding psoriasis?

The emergency room nurse is reporting the location of a fracture to the client's primary car. When stating the location of the fracture on the long shaft of the femur, the nurse would be most correct to state which terminology locating the fractured site?

The nurse is caring for a client experiencing autonomic dysreflexia. Which of the following does the nurse recognize as the source of symptoms?

The nurse is providing client education on growth and development throughout the lifespan. When stating periods of most rapid bone growth, which period is the nurse most correct to state?

A client is being seen in the clinic for severe abdominal pain with nausea and vomiting. The nurse assesses the abdomen and notes an absence of bowel sounds and a very rigid abdomen. What would these assessment findings most likely indicate?