A nurse is caring for a client who has been taking epoetin alfa for 3 months.
Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?
AST.
Troponin.
T4.
Hgb.
The Correct Answer is D
Choice A rationale:
AST (Aspartate Aminotransferase) is a liver enzyme and its levels are used to assess liver function, not the effectiveness of epoetin alfa.
Choice B rationale:
Troponin is a cardiac marker used to diagnose heart attacks. It has no relation with the effectiveness of epoetin alfa.
Choice C rationale:
T4 (Thyroxine) is a thyroid hormone. Its levels indicate thyroid function, not the effectiveness of epoetin alfa.
Choice D rationale:
Hgb (Hemoglobin) levels are used to assess the effectiveness of epoetin alfa. Epoetin alfa is a medication that stimulates the production of red blood cells, thereby increasing hemoglobin levels in the blood. Normal hemoglobin levels are 13.5 to 17.5 g/dL in men and 12.0 to 15.5 g/dL in women.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Levalbuterol is a short-acting beta agonist, which is commonly used for quick relief in an acute asthma attack.
Choice B rationale:
Cromolyn is used as a preventive treatment for asthma, not for treating an acute attack.
Choice C rationale:
Budesonide is a corticosteroid used for long-term control and prevention of symptoms, not for immediate relief during an acute asthma attack.
Choice D rationale:
Ipratropium is used as a bronchodilator for asthma, but it’s typically not the first choice for treating an acute asthma attack.
Correct Answer is B
Explanation
Choice A rationale:
While headache can be a side effect of aspirin, it’s usually not severe enough to warrant reporting to the provider unless it’s persistent or severe.
Choice B rationale:
Rhinitis, or inflammation of the mucous membrane of the nose, can be an allergic reaction to aspirin and should be reported to the provider.
Choice C rationale:
Hematocrit (Hct) level of 43% is within the normal range for both men (38.8–50.0 %) and women (34.9–44.5 %), so this finding would not need to be reported.
Choice D rationale:
A blood pressure reading of 120/70 mm Hg is within the normal range and would not need to be reported.
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