Which of the following is a therapeutic use of erythropoietin? (Select All that Apply.)
Treatment of anemia in patients with HIV on antiretroviral therapy
Management of chemotherapy-induced anemia
Treatment of hyperthyroidism
Management of anemia in iron-deficiency without underlying renal disease
Treatment of anemia in chronic kidney disease
Prevention of blood clots in deep vein thrombosis
Reduction of blood pressure in hypertensive patients
Treatment of thrombocytopenia in immune thrombocytopenic purpura
Correct Answer : A,B,E
A. Erythropoietin stimulates red blood cell production and is used to treat anemia in patients with HIV who are receiving antiretroviral therapy that can suppress bone marrow.
B. It is also indicated for chemotherapy-induced anemia, helping reduce fatigue and the need for blood transfusions.
C. Hyperthyroidism is unrelated to erythropoietin therapy; it does not affect thyroid hormone levels.
D. Iron-deficiency anemia without renal disease is typically treated with iron supplementation, not erythropoietin, unless there is concurrent bone marrow suppression.
E. Chronic kidney disease often causes anemia due to reduced endogenous erythropoietin production; exogenous erythropoietin is used therapeutically in these patients.
F. Prevention of blood clots is not a function of erythropoietin; anticoagulants are used for that purpose.
G. Reduction of blood pressure is not an effect of erythropoietin; it may even increase blood pressure in some patients.
H. Thrombocytopenia treatment is not indicated with erythropoietin; platelet growth factors or other therapies are used instead.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Filling out an occurrence report is important for institutional tracking and quality improvement, but it is not the immediate priority for client safety.
B. Notifying the charge nurse is necessary, but the nurse must first assess the client’s condition to determine if any urgent intervention is required.
C. Checking the client’s vital signs is the priority action because it allows the nurse to assess for any adverse effects of the medication and take immediate steps to ensure the client’s safety. This aligns with the principle of addressing actual harm before reporting or documenting.
D. Documenting an objective description in the client’s chart is important, but safety assessment comes first before documentation.
Correct Answer is A
Explanation
A. Hydralazine is an antihypertensive that relaxes blood vessels and lowers blood pressure. Frequent monitoring is important to ensure effectiveness and prevent hypotension, especially when starting therapy or adjusting the dose.
B. Clients are generally encouraged to maintain adequate fluid intake unless otherwise restricted; fluid restriction is not a standard precaution with hydralazine.
C. Grapefruit juice does not have a known interaction with hydralazine; this instruction is unnecessary.
D. Clients should not skip doses based on current blood pressure readings without consulting their healthcare provider, as this can lead to unstable blood pressure control.Top of FormBottom of Form
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