The practical nurse (PN) is administering a subcutaneous injection of epoetin to a client with chronic kidney disease (CKD). This medication is being administered to treat which manifestation of chronic kidney disease (CKD)?
Anemia.
Edema.
Hypertension.
Anuria.
The Correct Answer is A
A. Anemia: Epoetin is a synthetic form of erythropoietin, which stimulates red blood cell production. In CKD, the kidneys produce insufficient erythropoietin, leading to anemia. Administering epoetin addresses this common complication.
B. Edema: Edema in CKD results from fluid retention due to impaired kidney function. Epoetin does not treat fluid overload; diuretics and fluid management are used for edema.
C. Hypertension: CKD-related hypertension is managed with antihypertensive medications. Epoetin may actually increase blood pressure as a side effect but does not treat hypertension.
D. Anuria: Anuria, or absence of urine output, reflects severe kidney dysfunction. Epoetin does not restore urine production; renal replacement therapy may be needed for anuria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Quinapril: Quinapril is an angiotensin-converting enzyme (ACE) inhibitor. A persistent dry cough is a well-known side effect due to accumulation of bradykinin in the respiratory tract. Clients should be informed that the cough may resolve after discontinuation or switching to another antihypertensive class.
B. Spironolactone: Spironolactone is a potassium-sparing diuretic and does not commonly cause a dry cough. Its primary side effects include hyperkalemia, gynecomastia, and menstrual irregularities rather than respiratory symptoms.
C. Losartan: Losartan is an angiotensin II receptor blocker (ARB) and is less likely to cause a cough. It is often used as an alternative for clients who develop a cough with ACE inhibitors.
D. Clonidine: Clonidine is an alpha-2 adrenergic agonist used for hypertension. Common side effects include sedation, dry mouth, and hypotension, but it does not typically produce a persistent dry cough.
Correct Answer is B
Explanation
A. Reflex hammer: A reflex hammer is used to assess deep tendon reflexes and is not needed for hearing tests like the Weber test.
B. Tuning fork: The Weber test evaluates bone conduction of sound to detect unilateral hearing loss. A tuning fork is the appropriate instrument to perform this test.
C. DinamapR: This device measures blood pressure and has no application in conducting auditory assessments such as the Weber test.
D. Doppler: A Doppler device is used to assess blood flow and pulses, not for auditory testing, and would not be useful in performing the Weber test.
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