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 {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

Respiratory acidosis- Due to opioid-induced respiratory depression (hypoventilation, CO₂ retention). Phlebitis- Due to IV therapy (15g IV and 0.9% NS at 150mL/hr), increasing the risk of vein irritation and inflammation.

Incorrect answers:

Metabolic alkalosis: typically occurs due to vomiting or excessive bicarbonate intake.
Hypervolemia: The client is receiving IV fluids, but there is no evidence of fluid overload.
Osteomyelitis: Infection of the bone; not a direct risk in this scenario.

A. Prepare the client for dialysis. B. Start an IV and run normal saline at 50m/hour. C. Repeat the electrolyte values later in the day D. Monitor urine output

Correct Answer is A

Explanation

A. Prepare the client for dialysis: A potassium level of 8.3 mEq/L is critically high (normal range: 3.5–5.3 mEq/L), putting the client at immediate risk for life-threatening cardiac arrhythmias (e.g., ventricular fibrillation). Emergency dialysis is needed to remove excess potassium if other interventions (e.g., insulin, calcium gluconate) fail.

B. Start an IV and run normal saline at 50mL/hour: Fluid administration alone does not lower potassium quickly enough in a life-threatening situation.

C. Repeat the electrolyte values later in the day: Delaying treatment would increase the risk of cardiac arrest.

D. Monitor urine output: Although important, monitoring alone does not treat the emergency. Clients with acute renal failure often have little to no urine output.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has severe right wrist pain. Exhibits The nurse has completed the assessment of the client. Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdown and dropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

The nurse is caring for a client diagnosed with acute renal failure and has a potassium level of 8.3 mEq/L. What collaborative intervention would be a priority for this client?

Correct Answer is A

Explanation

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