A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective?
Reference Range
- Hemoglobin (Hgb) [Reference Range: Male: 14 to 18 g/dL (8.7 to 11.2 mmol/L)]
Hemoglobin level increased to 12 g/dL (7.45 mmol/L).
Reports of increased energy levels and decreased fatigue.
Food diary shows increased consumption of iron-rich foods.
Takes concurrent iron therapy without adverse effects.
The Correct Answer is A
A: Epoetin alfa is a medication used to treat anemia, which is often a consequence of chronic kidney disease. The primary goal of therapy is to increase the hemoglobin level, which carries oxygen throughout the body. An increase in hemoglobin levels to 12 g/dL indicates a positive response to the medication, as it suggests improved oxygenation of tissues.
B: While increased energy levels and decreased fatigue are subjective signs that the client may be feeling better, they are not as quantifiable or direct indicators of the medication's effectiveness as changes in hemoglobin levels.
C: Increased consumption of iron-rich foods is beneficial for clients with anemia, but it is not a direct indicator of the effectiveness of epoetin alfa. Dietary changes can support overall health but do not provide evidence of the medication's impact on hemoglobin levels.
D: Taking concurrent iron therapy is common for clients receiving epoetin alfa, as iron is necessary for the production of red blood cells. However, the absence of adverse effects does not directly indicate the effectiveness of epoetin alfa in increasing hemoglobin levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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