The nurse is caring for a client who has chronic renal disease and is receiving therapy with erythropoietin (epoetin alpha). Which of the following laboratory results should the nurse review as an indication of a therapeutic effect of this medication?

Leukocytes

Hemoglobin

Platelets

Brain Natriuretic peptide

Answer and Explanation

The Correct Answer is B

A. Leukocytes: Erythropoietin does not affect white blood cell (WBC) production.

B. Hemoglobin: Erythropoietin stimulates red blood cell (RBC) production in the bone marrow. Clients with chronic kidney disease (CKD) develop anemia due to decreased natural erythropoietin production. A therapeutic response is seen as an increase in hemoglobin levels.

C. Platelets: Erythropoietin does not stimulate platelet production (thrombopoiesis).

D. Brain Natriuretic Peptide (BNP): BNP is a marker for heart failure, not erythropoiesis.

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Correct Answer is D

Explanation

A. “This is called a thrill and it means that your fistula is not working.” A thrill is a normal finding and means the fistula is functioning properly.

B. "This is not a normal sign; we will call your provider right away.” A lack of thrill is abnormal, not the presence of one.

C. "This is called a bruit and it shows that your fistula is patent." The thrill is felt and the bruit is heard.

D. "This is called a thrill and it means that your fistula is patent." A thrill (vibration) is a normal finding in an AV fistula and indicates adequate blood flow. A bruit (whooshing sound) is heard on auscultation and also confirms patency.

A. "If I stop sweating should call 911 or get to the Emergency Department quickly.” B. "If this happens in the future, lying in cool water would be beneficial.” C. “Using salt tablets to replenish my electrolytes may lead to nausea and vomiting.” D. "Drinking water is the best way to improve sodium intake.”

Correct Answer is D

Explanation

A. "If I stop sweating, I should call 911 or get to the Emergency Department quickly.” An absence of sweating can indicate heat stroke, a medical emergency.

B. "If this happens in the future, lying in cool water would be beneficial.” Cooling measures like cold baths, ice packs, and shade help reduce body temperature.

C. “Using salt tablets to replenish my electrolytes may lead to nausea and vomiting.” Salt tablets can irritate the stomach and cause nausea, vomiting, and hypernatremia.

D. "Drinking water is the best way to improve sodium intake.” While water helps with rehydration, it does not replace lost sodium. Excessive water intake without electrolytes can cause hyponatremia, leading to confusion, seizures, or coma. Electrolyte-containing drinks (e.g., sports drinks, oral rehydration solutions) are better choices.

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The nurse is caring for a client who has chronic renal disease and is receiving therapy with erythropoietin (epoetin alpha). Which of the following laboratory results should the nurse review as an indication of a therapeutic effect of this medication?

Nursing Test Bank

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The nurse is caring for a client who has chronic renal disease and is receiving therapy with erythropoietin (epoetin alpha). Which of the following laboratory results should the nurse review as an indication of a therapeutic effect of this medication?