Nokea
A client who was treated for anemia is being discharged. The client has been instructed to continue with epoetin alfa for a week. Which of the following points should the nurse include in the teaching plan to educate the client about the therapy when caring for the client on an outpatient basis?
- A. Avoid use of multivitamin preparations.
- B. Report signs of joint pain to the primary health care provider.
- C. Follow the recommended diet provided by the primary health care provider.
- D. Take the drug on an empty stomach or with water.
Correct Answer: B
Rationale: When caring for a client who is to take epoetin alfa for anemia, the nurse should instruct the client to report any signs of joint pain, dizziness, headache, fatigue, nausea, vomiting, or diarrhea to the primary health care provider. The nurse should instruct the client to avoid taking multivitamin preparations and to follow the diet recommended by the primary health care provider when caring for a client who has to take folic acid. The nurse should instruct the client to take the drug on an empty stomach or with water when caring for a client who has to take iron supplements on an outpatient basis.
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After administering methoxy polyethylene epoetin beta, the nurse would be alert for the development of which of the following as a possible adverse reaction? Select all that apply.
- A. Bone pain
- B. Fluid retention
- C. Hypertension
- D. Fatigue
- E. Arthralgia
Correct Answer: C,D,E
Rationale: Hypertension, headache, nausea, vomiting, diarrhea, rashes, fatigue, arthralgia, and injection site skin reactions are adverse reactions the nurse should discuss with a client prior to the administration of methoxy polyethylene epoetin beta (Mircera).
Based on the nurse's understanding of epoetin alfa, the nurse would expect to administer the drug cautiously to a client with a history of which of the following? Select all that apply.
- A. Diabetes
- B. Renal failure
- C. History of seizures
- D. Congestive heart failure
- E. Hypotension
Correct Answer: C,D
Rationale: Epoetin alfa (Procrit) is used cautiously in clients with hypertension, heart disease, congestive heart failure, or a history of seizures.
A client is prescribed ferrous sulfate (Feosol). Which of the following adverse reactions should the nurse discuss with a client prior to the administration of this drug? Select all that apply.
- A. Constipation
- B. Fluid retention
- C. Nausea
- D. Fatigue
- E. Dark stools
Correct Answer: A,C,E
Rationale: GI irritation, nausea, vomiting, constipation, diarrhea, darker stools, headache, backache, and allergic reactions are adverse reactions the nurse should discuss with a client prior to the administration of ferrous sulfate (Feosol).
A nurse is caring for a client who has been prescribed iron dextran. The nurse understands that which information is used to calculate the drug dosage?
- A. Client's age
- B. Client's height
- C. Hemoglobin level
- D. Platelet count
Correct Answer: C
Rationale: Hemoglobin level and body weight of the client are important information the nurse requires to calculate the drug dosage for administering iron dextran. The client's age, height, and platelet count are not essential information when calculating drug dosage for iron dextran.
A nurse administers a test dose of iron dextran IM. The nurse would wait at least how long before administering the remainder of the dose?
- A. 15 minutes
- B. 30 minutes
- C. 45 minutes
- D. 60 minutes
Correct Answer: D
Rationale: After giving the test dose, the nurse would monitor the client for an allergic response for at least 1 hour after the test dose and before administering the remaining dose. Epinephrine is kept on standby in the event of severe anaphylactic reaction.