A nurse is caring for a client who has been receiving epoetin alfa in preparation for a hip arthroplasty. Which of the following findings indicate that the medication has been effective?

Hemoglobin 11 g/dL

WBC count 9,000/mm3

Total calcium 10 mg/dL

PT 12 seconds

Answer and Explanation

The Correct Answer is A

Epoetin alfa is a medication used to stimulate erythropoiesis, the production of red blood cells. An increase in the client's hemoglobin level indicates that the medication has been effective. The normal range of hemoglobin for adult females is 12-16 g/dL and for adult males is 13.5-17.5 g/dL. A hemoglobin level of 11 g/dL is slightly below the normal range, but it is an improvement from a lower level. Choice B, WBC count 9,000/mm3 is unrelated to the medication and is within the normal range. Choice

C, total calcium 10 mg/dL, and choice D, PT 12 seconds, are also unrelated to the medication and are within the normal range.

Choice B (WBC count 9,000/mm3) is not an answer because it is unrelated to the medication and is within the normal range.

Choice C (total calcium 10 mg/dL) is not an answer because it is unrelated to the medication and is within the normal range.

Choice D (PT 12 seconds) is not an answer because it is unrelated to the medication and is within the normal range.

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Correct Answer is C

Explanation

A. This is not necessary for a colonoscopy. A clear liquid diet for a shorter period, usually 12-24 hours, is sufficient.

B: The provider does not schedule another procedure to remove any polyps during the colonoscopy; they may be removed during the procedure or later.

C: This is a standard bowel preparation instruction for colonoscopy to ensure a clear view of the colon during the procedure.

D: While enemas may be part of bowel preparation, they are usually administered closer to the procedure, not 2 days in advance.

A. Numbness in the fingertips B. Urge to urinate C. Pain in the jawline D. Feeling of heat

Correct Answer is D

Explanation

The correct answer is choice D. During injection of the contrast medium, the client may experience a feeling of heat. Choices A and C are incorrect because numbness in the fingertips and pain in the jawline are not expected during the procedure. Choice B is incorrect because the urge to urinate is associated with cystoscopy. Choice A is not correct because numbness in the fingertips is not expected during the procedure. Choice B is not correct because the urge to urinate is associated with cystoscopy. Choice C is not correct because pain in the jawline is not expected during the procedure.

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A nurse is caring for a client who has been receiving epoetin alfa in preparation for a hip arthroplasty. Which of the following findings indicate that the medication has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following should the nurse tell the client to expect during injection of the contrast medium?

Correct Answer is D

Explanation

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