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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:

Administering an IV fluid bolus can help increase blood volume and thus increase blood pressure, which can alleviate symptoms of dizziness and lightheadedness. This is a common side effect of ramipril, especially after the first dose.

Choice B rationale:

Naloxone is an opioid antagonist and is not relevant in this context. It’s used to reverse the effects of opioid overdose, not to treat symptoms associated with antihypertensive medications.

Choice C rationale:

Diphenhydramine is an antihistamine used to treat allergic reactions or insomnia, not symptoms associated with antihypertensive medications.

Choice D rationale:

Administering 15 g of carbohydrates would be appropriate for a hypoglycemic patient, not for a patient experiencing dizziness and lightheadedness due to antihypertensive medication.

A. Blurred vision. B. Tinnitus. C. Headache. D. Dry mouth.

Correct Answer is C

Explanation

Choice A rationale:

Blurred vision is not a common side effect of the meningococcal conjugate vaccine.

Choice B rationale:

Tinnitus, or ringing in the ears, is also not a common side effect of this vaccine.

Choice C rationale:

Headache is a common side effect of the meningococcal conjugate vaccine.

Choice D rationale:

Dry mouth is not typically associated with this vaccine.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering the first dose of ramipril to a client who has hypertension.The client reports feeling dizzy and lightheaded.Which of the following should the nurse administer?

Correct Answer is A

Explanation

A nurse in an acute care facility is collecting data from a client who has received the meningococcal conjugate vaccine.The nurse should monitor the client for which of the following findings as an adverse effect of the vaccine?

Correct Answer is C

Explanation

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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?